NPI | 1497137160 |
---|---|
Doing Business As | ORANGEBURG DENTISTRY |
Entity Type | Organization |
Authorized Contact | EARL BARRETT HARTZOG President 843-560-1543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4591) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2015-06-18 |