| NPI | 1679665830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD RUTLEDGE SANDER President 843-571-6795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3847) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |