| NPI | 1659594927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY COOPER HORTMAN President 843-399-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 2857) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-04-17 |