Organization
MYRTLE BEACH ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JUSTIN CROSBY DDS (OWNER)
(843) 497-3707
Entity
Organization
Contact information
Practice address
350 HILTON RD STE 201, MYRTLE BEACH, SC 29572-6623
(843) 497-3707
(843) 497-3717
Mailing address
350 HILTON RD STE 201, MYRTLE BEACH, SC 29572-6623
(630) 992-0411
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
06/06/2023
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