| NPI | 1639308349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A SCIOSCIA Owner 803-951-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3307) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |