| NPI | 1205365657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KURT HARKEY Owner 843-795-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3526) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |