| NPI | 1619455698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J LAYTON President 843-225-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 7027) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |