| NPI | 1831359918 |
|---|---|
| Doing Business As | AESTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GENE W GRACE Owner 843-524-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1736) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |