Organization
GRAND STRAND FAMILY AND ESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MACHOWSKI (PRES)
(843) 448-6434
Entity
Organization
Contact information
Practice address
3409 N KINGS HWY, MYRTLE BEACH, SC 29577-2929
(843) 448-6434
Mailing address
3409 N KINGS HWY, MYRTLE BEACH, SC 29577-2929
(843) 448-6434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2503
SC
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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