| NPI | 1295242253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA F SHAPIRO Owner/Pediatric Dentist 843-800-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 4608) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |