| NPI | 1346464674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A GALLOWAY Dentist 843-556-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3956) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |