| NPI | 1386650836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD QUENTIN SHERMER Owner 803-920-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1965) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-04-29 |