| NPI | 1720223506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M. AIKEN Manager 843-293-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2614) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |