NPI | 1871942391 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY DAVIS Owner/Pediatric Dentist 843-707-7915 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 8543-869) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |