| NPI | 1194211243 |
|---|---|
| Other Name | FETTER MOBILE DENTAL VEHICLE |
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-10-28 |