| NPI | 1922214766 | 
|---|---|
| Doing Business As | PALMETTO SMILES | 
| Entity Type | Organization | 
| Authorized Contact | KEVIN M. RAINES Partner 803-951-9100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2007-05-16 | 
| Last Update Date | 2024-08-27 |