| NPI | 1851516884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DIBENEDETTO Ins. Coord. 843-554-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC SC1956) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |