| NPI | 1790386613 |
|---|---|
| Doing Business As | SWAMP RABBIT DENTAL |
| Entity Type | Organization |
| Authorized Contact | PARKS BURTON ALEXANDER Owner 864-901-6617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |