| NPI | 1215052840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOS MACK MALTEZOS President 843-849-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 4118) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |