| NPI | 1700445889 |
|---|---|
| Doing Business As | WALTERBORO FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAUREN FORSTER CALLISON Owner/Dentist 843-532-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-10-31 |