| NPI | 1225456247 |
|---|---|
| Doing Business As | CHILDREN AND ADULT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TONIA PATTERSON Office Administrator 803-600-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 2905) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2015-10-27 |