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Organization
OLEANDER FAMILY AND COSMETIC DENTISTRY, LLC
Active
Organization
OLEANDER FAMILY AND COSMETIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD VANDIVER HORTON JR. DDS (PARTNER)
(843) 449-7114
Entity
Organization
Contact information
Practice address
4610 OLEANDER DR, SUITE 103, MYRTLE BEACH, SC 29577-5752
(843) 449-7114
(843) 449-2554
Mailing address
4610 OLEANDER DR, SUITE 103, MYRTLE BEACH, SC 29577-5752
(843) 449-7114
(843) 449-2554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1537 AND 4131
SC
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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