| NPI | 1629415674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CARROLL SWASTY President/Dentist 843-405-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 4439) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |