| NPI | 1861796336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MOORE CROOKS President 803-779-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 1922) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |