| NPI | 1770099384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SWASTY Owner/Orthodontist 843-871-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 4439) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |