| NPI | 1598173627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MCGILL BRYANT President 843-267-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |