| NPI | 1295995710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. BEEBE General Dentist 843-875-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2849) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |