| NPI | 1336764083 |
|---|---|
| Doing Business As | CAROLINA DENTISTRY @ THE STATELINE |
| Entity Type | Organization |
| Authorized Contact | MARTIN C. AVEY President/Dentist 803-650-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-09-26 |