NPI | 1396141719 |
---|---|
Doing Business As | DENTALSMART |
Entity Type | Organization |
Authorized Contact | ROBERT GAMBLE Dentist Owner Of Practice 843-614-6769 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-11-12 |
Last Update Date | 2016-04-11 |