| NPI | 1366807836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE GARLITZ Owner/Dentist 803-736-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4422) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |