| NPI | 1417087693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M SAVILLE Owner 843-766-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3607) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-05-18 |