NPI | 1407159312 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA J MCLAUGHLIN Co Owner 803-980-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3930) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2010-12-15 |