| NPI | 1891172508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL Z PRICE Owner/Dentisit 803-479-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 123456) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |