| NPI | 1679883524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C. LESCH Owner 843-797-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 30-3382) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |