| 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 |