| NPI | 1477867281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R JASON J HEHR Practitioner/Owner 843-767-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: SC 4030 698OS) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |