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Organization

RIESENBERG FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATIE LAUREN RIESENBERG DMD (OWNER DENTIST)
(843) 580-1917
Entity
Organization

Contact information

Practice address
512 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2904
(843) 580-1917
Mailing address
8225 SANDLAPPER WAY, MYRTLE BEACH, SC 29572-8178
(513) 484-4740

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/18/2023
Last updated
05/18/2023
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