Individual
DR. VASILIOS POURNARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1211 44TH AVE. N., SUITE 100, MYRTLE BEACH, SC 29577
(843) 449-3161
(843) 449-9785
Mailing address
1211 44TH AVE. N., SUITE 100, MYRTLE BEACH, SC 29577
(843) 449-3161
(843) 449-9785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3697
—
SC
Enumeration date
12/06/2005
Last updated
07/08/2007
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