NPI | 1841747250 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WOOD HOWELL Owner 843-693-8901 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AK 1536) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |