NPI | 1992180319 |
---|---|
Doing Business As | SMILING OAK DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY JEROME GARDNER Owner 843-884-0335 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3163) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |