| NPI | 1447035043 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL GROUP OF SOUTH CAROLINA |
| Entity Type | Organization |
| Authorized Contact | TASHIBA NELSON Owner 803-781-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |