Organization
SOUTH COAST DENTAL LLC
Active
Other names
Comprehensive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL DAMMANN DMD (MEMBER/DENTIST)
(843) 446-3664
Entity
Organization
Contact information
Practice address
5879 HIGHWAY 707, MYRTLE BEACH, SC 29588-7359
(843) 650-4707
(843) 650-5151
Mailing address
889 BLUFFVIEW DR, MYRTLE BEACH, SC 29579-5268
(843) 446-3664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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