Individual
LINDSAY JANE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS, OMT
Contact information
Practice address
304 PALMETTO GLEN DR, MYRTLE BEACH, SC 29588-8304
(724) 840-3338
Mailing address
304 PALMETTO GLEN DR, MYRTLE BEACH, SC 29588-8304
(724) 840-3338
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
101616
NV
124Q00000X
Dental Hygienist
Primary
10809
SC
124Q00000X
Dental Hygienist
DH071269
PA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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