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Organization

ROSS ORTHODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL R MUNN DMD,MS (ORTHODONTIST)
(843) 293-3522
Entity
Organization

Contact information

Practice address
3508 CADUCEUS DR, MYRTLE BEACH, SC 29588-2902
(843) 293-3522
(843) 293-0973
Mailing address
3508 CADUCEUS DR, MYRTLE BEACH, SC 29588-2902
(843) 293-3522
(843) 293-0973

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4318
SC

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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