| NPI | 1669480067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LESLIE GRIFFIN Owner 843-629-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 2721) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |