Individual
BROOKS ALBERT SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6800 N KINGS HWY, MYRTLE BEACH, SC 29572-3017
(843) 497-5630
Mailing address
9328 COVE DR, MYRTLE BEACH, SC 29572-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10848
SC
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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