Organization
VASILIOS J. POURNARAS, D.M.D., L.L.C.
Active
Other names
Pournaras Cosmetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIOS J. POURNARAS DMD (OWNER)
(843) 449-3161
Entity
Organization
Contact information
Practice address
1211 44TH AVE. N., 100, MYRTLE BEACH, SC 29577
(843) 449-3161
(843) 449-9785
Mailing address
1211 44TH AVE. N., 100, MYRTLE BEACH, SC 29577
(843) 449-3161
(843) 449-9785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3697
—
SC
Enumeration date
05/23/2007
Last updated
08/22/2020
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