| NPI | 1487036794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN PALMATEER Dentist 843-376-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8108) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |