| NPI | 1366057168 |
|---|---|
| Former Legal Business Name | DUSTIN R. PLUNKETT DDS, PA |
| Entity Type | Organization |
| Authorized Contact | DUSTIN ROBERT PLUNKETT Owner 843-768-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |