| NPI | 1699805648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD KEVIN HOGAN President 843-216-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC3924) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |