| NPI | 1790020907 |
|---|---|
| Doing Business As | DENTISTRY FOR CHILDREN OF SOUTH CAROLINA |
| Entity Type | Organization |
| Authorized Contact | CHARLES COULTER Owner 770-692-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3253) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2014-10-23 |