| NPI | 1992839708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MONROE HENDLEY President 843-672-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3504) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |