| NPI | 1558543249 |
|---|---|
| Doing Business As | SMILE CENTER OF KNIGHTSVILLE |
| Entity Type | Organization |
| Authorized Contact | JEANINE ALICIA GOURDINE Owner/Dentist 843-261-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4061) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |