| NPI | 1760834949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLIVER Owner 843-352-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 8137) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |