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Organization
HAPPY TEETH HAPPY KIDS, LLC
Active
Organization
HAPPY TEETH HAPPY KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE MENDEZ DMD (OWNER)
(843) 839-4554
Entity
Organization
Contact information
Practice address
3074 DEVILLE ST, MYRTLE BEACH, SC 29577-1569
(843) 839-4554
(843) 839-4043
Mailing address
3074 DEVILLE ST, MYRTLE BEACH, SC 29577-1569
(843) 839-4554
(843) 839-4043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4406
SC
1223P0300X
Periodontics
4429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144462698
—
SC
05
—
1336337047
—
SC
Enumeration date
06/23/2015
Last updated
06/23/2015
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