| NPI | 1194576132 |
|---|---|
| Doing Business As | PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | ANGIE BAZZLE Operations Manager 843-871-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |