| NPI | 1982879144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE I CRAWFORD Owner 803-637-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1984) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |