| NPI | 1659693695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB G DRIGGERS Director Of Operations 843-818-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC SC3889) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |