| NPI | 1922070051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F. BERGER President/Dentist 803-787-9793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 1354) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |