| NPI | 1164252136 |
|---|---|
| Doing Business As | KNIGHTSVILLE PEDIATRIC DENTISTRY KPD LLC |
| Doing Business As | KNIGHTSVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JUNE MURAKARU-MCCOLLUM Dentist 843-771-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |