| 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 |