NPI | 1447607494 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN FRANKLIN SHEFTALL Owner/President 843-991-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-05-19 |