| NPI | 1275006272 |
|---|---|
| Doing Business As | SUMMERVILLE PEDIATRIC ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KATHRYN STROUD BULLWINKEL Owner 803-606-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |