| NPI | 1760830558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE PITNER Owner/Orthodontist 803-781-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3905) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |