| NPI | 1740568765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILLIAM GREENBERG President 843-260-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4643) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2013-04-29 |