| NPI | 1740312503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE CROSSLAND Dentist 843-971-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2703) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-10-27 |