| NPI | 1780879247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. CAROLINE JONES GUTIERREZ Owner 803-782-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3327) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2010-10-18 |