Organization
ADULT AND CHILDREN'S DENTISTRY AT CAROLINA FOREST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY S WALSH DMD (PRESIDENT)
(843) 457-4651
Entity
Organization
Contact information
Practice address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
(843) 903-8800
Mailing address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
(843) 903-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3446
SC
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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