Individual
WALTER JOSEPH MACHOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3409 N KINGS HWY, MYRTLE BEACH, SC 29577-2929
(843) 448-6434
Mailing address
3409 N KINGS HWY, MYRTLE BEACH, SC 29577-2929
(843) 448-6434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z25036
—
SC
Enumeration date
02/15/2007
Last updated
02/07/2008
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