| NPI | 1710728563 |
|---|---|
| Doing Business As | MOORE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MASON DOUGLAS WADE President 843-795-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |