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Organization
SURFSIDE SW LLC
Active
Organization
SURFSIDE SW LLC
Active
Other names
Surfside Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOHN WILLIS DC (OWNER)
(843) 450-1886
Entity
Organization
Contact information
Practice address
811 5TH AVE N, SURFSIDE BEACH, SC 29575-3967
(843) 450-1886
Mailing address
11919 PLAZA DR, MURRELLS INLET, SC 29576-9356
(843) 450-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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