| NPI | 1376683102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOCK C. MCDUFFIE,III General Dentist 803-328-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3496) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-06-16 |