| NPI | 1851906028 |
|---|---|
| Doing Business As | CAROLINA PARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW BELLEBAUM Owner 843-654-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-03-03 |