Individual
DR. JUSTIN DAMMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
501 PENNINGTON LOOP, MYRTLE BEACH, SC 29588-7735
(843) 446-3664
Mailing address
501 PENNINGTON LOOP, MYRTLE BEACH, SC 29588
(843) 446-3664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4039
SC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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