| NPI | 1326090838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SIDNEY JONES President 843-689-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 1808634OS) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC BLN0103573) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-20 |