| NPI | 1811587488 |
|---|---|
| Doing Business As | BRIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM PRATT Owner Dentist 843-697-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |