Organization
BIG WAVES ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ERIC PORRAS DMD (ENDODONTIST)
(843) 492-7979
Entity
Organization
Contact information
Practice address
4603 OLEANDER DR STE 6, MYRTLE BEACH, SC 29577-5738
(843) 492-7979
(843) 492-7448
Mailing address
584 STARLIT WAY, MYRTLE BEACH, SC 29579-4322
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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