| NPI | 1194849893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J. LORENZI Owner 803-796-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3588) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: SC 2407) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-07-06 |