| NPI | 1811433725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEBEDIAH CHRISTY Owner/Dds 843-405-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8613) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |