| NPI | 1760716021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY COVINGTON President / Dentist 843-665-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4309) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |