| NPI | 1972725299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J NYLAND Owner President 803-772-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 1707) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC Specialty 0160) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-03-07 |