| NPI | 1780184036 |
|---|---|
| Doing Business As | MARSHLANDS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID SOUTHERLAND WISE General Dentist 843-521-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC 4601) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |