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 |