| NPI | 1760585905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. EUGENE BUTLER Dentist 843-449-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2977) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |