| NPI | 1245434364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SMITH Dentist/Owner 803-324-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1571) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2017-05-09 |