| NPI | 1447428933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DURNING MOORE President 843-795-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2878) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |