| NPI | 1669680948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W WARNER Dentist 843-388-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 2162) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 3884) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |