Organization
GRAND STRAND FAMILY AND ESTHETIC DENTISTRY
Active
Parent organization
GRAND STRAND FAMILY AND ESTHETIC DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND STRAND FAMILY AND ESTHETIC DENTISTRY
Authorized official
DR. WALTER J MACHOWSKI DMD (PRES)
(843) 448-5434
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
122300000X
Dentist
Primary
2503
SC
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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