Individual
JEREMY S BONDURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1317 N KINGS HWY, SUITE 106, MYRTLE BEACH, SC 29577-3636
(843) 626-5437
(843) 626-6308
Mailing address
1317 N KINGS HWY, SUITE 106, MYRTLE BEACH, SC 29577-3636
(843) 626-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4534
SC
Other
Enumeration date
10/07/2008
Last updated
11/07/2014
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