| NPI | 1720567548 |
|---|---|
| Doing Business As | SOLA KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAURA BANTY President 843-557-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA DDS100420) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-09-30 |