| NPI | 1265796874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EDWARD MOHLER Owner / Dentist 843-522-1442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 3226) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |