NPI | 1417464371 |
---|---|
Doing Business As | ADULT AND CHILDRENS DENTISTRY AT CAROLINA FOREST |
Entity Type | Organization |
Authorized Contact | COURTNEY SUGGS Dentist 843-903-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3446) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: SC 8861) |
Enumeration Date | 2018-01-01 |
Last Update Date | 2018-01-01 |