Organization
CHARLES E CORBETT JR, DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E CORBETT JR. DMD (OWNER)
(843) 449-7011
Entity
Organization
Contact information
Practice address
308 79TH AVE N, MYRTLE BEACH, SC 29572-4304
(843) 449-7011
(843) 449-8383
Mailing address
308 79TH AVE N, MYRTLE BEACH, SC 29572-4304
(843) 449-7011
(843) 449-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2786
SC
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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