Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Other names
Sand Oak Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
8215 N KINGS HWY, MYRTLE BEACH, SC 29572-3062
(843) 492-7580
(843) 492-7582
Mailing address
8215 N KINGS HWY, MYRTLE BEACH, SC 29572-3062
(843) 492-7580
(843) 492-7582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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