| NPI | 1568678407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PATRICK RILEY Dentist And Owner 843-261-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3580) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-17 |