| NPI | 1811186240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY REEDER PITTS Dentist 803-808-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3777) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |