| NPI | 1740396084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD MILLWOOD Dentist 803-796-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1857) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-06-23 |