| NPI | 1508932153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS KAYS Dentist Owner 843-556-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC SC1639) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC SC3403) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |