Organization
BLACK MYRTLE ENDODONTICS, LLC
Active
Other names
Black Myrtle Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN BLACK DMD, MSD (OWNER)
(843) 492-6724
Entity
Organization
Contact information
Practice address
4610 OLEANDER DR STE 201, MYRTLE BEACH, SC 29577-5752
(843) 492-6724
Mailing address
4610 OLEANDER DR STE 201, MYRTLE BEACH, SC 29577-5752
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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