Organization
DENTAL PROFESSIONALS OF SC, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SC, PC
Other names
North Myrtle Beach Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SC, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
1586 HWY 17N, NORTH MYRTLE BEACH, SC 29582
(843) 292-4238
Mailing address
1586 HWY 17N, NORTH MYRTLE BEACH, SC 29582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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