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 |