NPI | 1316076516 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD HARTWELL BRYANT Dentist 843-667-6660 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 2248) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2012-02-20 |