| NPI | 1205261633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D OLIVER President 843-327-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC SC 8137) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |