| NPI | 1275908923 |
|---|---|
| Doing Business As | PALMETTO DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAE SUNG PARK President 803-366-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8288) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |