NPI | 1235633835 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY K VILLANYI Owner/Dentist 843-849-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC SC3297) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |