NPI | 1154796555 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER OLIVER Owner/Doctor 843-352-4454 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC D8137) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |