| NPI | 1932207305 |
|---|---|
| Former Legal Business Name | DAVIS SQUARE CHIROPRACTIC, INC. |
| Entity Type | Organization |
| Authorized Contact | RONALD J. PELLICANI Owner 843-236-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3616) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-02-26 |