| NPI | 1801142567 |
|---|---|
| Doing Business As | CHARLESTON FAMILY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALLANTYNE BERWICK Orthodontist 843-571-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 4396) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-09-29 |