| NPI | 1578615969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE I CRAWFORD Owner 803-648-8319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1984) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |