| NPI | 1710068390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BONDS Vice President 843-665-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 2910) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |