| NPI | 1366580276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH LUCIUS PAPADEA President 843-235-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3910) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |