| NPI | 1275611659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE THOMAS WEIR Owner/Dentist 843-762-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2971) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-09-25 |