| NPI | 1508287863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRADLEY WILLIAMS Owner 843-797-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3808) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |