| NPI | 1982468153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THU TRAN HO Dentist 803-658-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-16 |