| NPI | 1528634862 |
|---|---|
| Doing Business As | SP ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NEAL PATEL Manager 843-602-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-28 |