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Organization
ADULT AND CHILDREN'S DENTISTRY AT CAROLINA FOREST INC
Active
Organization
ADULT AND CHILDREN'S DENTISTRY AT CAROLINA FOREST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY S WALSH DMD (PRESIDENT)
(843) 457-4651
Entity
Organization
Contact information
Practice address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
(843) 903-8800
Mailing address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
(843) 903-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3446
SC
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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