| NPI | 1912040841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE LIVRERI President 843-884-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: SC 3989) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |