Individual
BROCK DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
Mailing address
902 W 2ND AVE, WINDERMERE, FL 34786-8517
(407) 697-9349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111555
SC
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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