| NPI | 1205312543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI PRICE Owner/Dentist 843-356-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC DGD9159GD) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |