Individual
EVANDER CHARLES ARNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
803 2ND AVE N, NORTH MYRTLE BEACH, SC 29582-3016
(843) 249-1333
(843) 249-2569
Mailing address
803 2ND AVE N, NORTH MYRTLE BEACH, SC 29582-3016
(843) 249-1333
(843) 249-2569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005
STATE LICENSE NUMBER
SC
05
—
Z20059
—
SC
Enumeration date
01/18/2007
Last updated
07/08/2007
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