| NPI | 1437590932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JESSE MARSH President 803-798-8675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 1192) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |