| NPI | 1154941169 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE COLLINS WIEDENMAN Owner 803-522-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-12-28 |