| NPI | 1962847814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL DRIGGERS Owner 843-818-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3889) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 4476) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |