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Individual

DR. SANDRA M. HALTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OS, DDS

Contact information

Practice address
4220 CAROLINA EXCHANGE DR, MYRTLE BEACH, SC 29579-4220
(843) 663-8000
(843) 663-8166
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-8166

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9473
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2026
SC

Other

Enumeration date
09/18/2008
Last updated
12/12/2024
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