| NPI | 1417127028 |
|---|---|
| Former Legal Business Name | TERMOTTO & DAVIS DENTAL PRACTICE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER H WINE Owner 843-705-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA 8091) |
| 1223G0001X Dentist General Practice (Licence: SC 1717) | |
| 1223G0001X Dentist General Practice (Licence: SC 4583) | |
| 1223G0001X Dentist General Practice | |
| 1223P0300X Dentist Periodontics | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics (Licence: SC 4182) | |
| 1223P0700X Dentist Prosthodontics (Licence: GA DN013298) | |
| 1223P0700X Dentist Prosthodontics (Licence: SC 4676) | |
| 1223P0700X Dentist Prosthodontics (Licence: GA DN015271) | |
| 1223P0700X Dentist Prosthodontics | |
| 1223P0700X Dentist Prosthodontics | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2018-03-13 |