| NPI | 1457463572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNA J MORESCHI President 803-548-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: SC 351505050S) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |