| NPI | 1730415092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNJIT RICK SINGH Owner 803-356-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC SC3351) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC SC3864) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: SC SC3801) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |