| NPI | 1376693572 |
|---|---|
| Other Name | CAROLINA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MANENDU BANIK Owner/CEO 843-553-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-07-19 |