| NPI | 1245551027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C. ELVINGTON Dentist 843-661-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3963) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2013-09-06 |