| NPI | 1902503832 |
|---|---|
| Doing Business As | MONCKS CORNER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALEX SHARIFIAN Owner 843-990-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |