Organization
SEASIDE SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIUD JONATHAN BECK JR. DDS (OWNER)
(843) 492-4090
Entity
Organization
Contact information
Practice address
9356C HIGHWAY 17 BYP, MURRELLS INLET, SC 29576-9328
(843) 492-4090
(843) 215-0579
Mailing address
9256C HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
(843) 492-4090
(843) 215-0579
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2222
SC
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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