| NPI | 1275682361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HIERHOLZER Owner 843-237-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2989) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-05-14 |