| NPI | 1801036637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL GHOWANLU DRIGGERS Dentist/Owner 843-478-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: SC SC3889) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-04-01 |