NPI | 1508280991 |
---|---|
Former Legal Business Name | COMPREHENSIVE DENTISTRY FOR ADULTS |
Entity Type | Organization |
Authorized Contact | JAMES C LESCH Dentist/ Owner 843-556-9939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: SC 3382) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 6898) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2014-02-06 |