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Organization
SOUTH COAST DENTAL LLC
Active
Organization
SOUTH COAST DENTAL LLC
Active
Other names
Comprehensive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL DAMMANN DMD (MEMBER/DENTIST)
(843) 446-3664
Entity
Organization
Contact information
Practice address
5879 HIGHWAY 707, MYRTLE BEACH, SC 29588-7359
(843) 650-4707
(843) 650-5151
Mailing address
889 BLUFFVIEW DR, MYRTLE BEACH, SC 29579-5268
(843) 446-3664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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