Organization
NORTH BEACH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD LAMAR (BUSINESS MANAGER)
(561) 305-4180
Entity
Organization
Contact information
Practice address
9654 N KINGS HWY UNIT N, MYRTLE BEACH, SC 29572-4043
(843) 213-0101
Mailing address
9654 N KINGS HWY UNIT N, MYRTLE BEACH, SC 29572-4043
(843) 213-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4565
SC
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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