NPI | 1174059836 |
---|---|
Former Legal Business Name | AMMONS DENTAL BY DESIGN- JAMES ISLAND LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL W AMMONS Dentist / Owner 843-203-6243 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: SC 6938) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2017-05-02 |