NPI | 1730847724 |
---|---|
Doing Business As | CANE BAY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PETER GRUMBOS Owner 843-352-4454 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-12-07 |
Last Update Date | 2021-12-07 |