| NPI | 1144634288 |
|---|---|
| Doing Business As | SWEETGRASS DENTAL OF SUMMERVILLE |
| Entity Type | Organization |
| Authorized Contact | KIM T DURHAM Secretary 864-350-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3440) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |