| NPI | 1750492997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE PIEPENBRING President 843-546-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 0522) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: SC 0338) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-07 |