| NPI | 1962563346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER PAUL CULVER President 843-871-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC SC2979) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |