Organization
SURFSIDE SW LLC
Active
Other names
Surfside Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOHN WILLIS DC (OWNER)
(843) 450-1886
Entity
Organization
Contact information
Practice address
811 5TH AVE N, SURFSIDE BEACH, SC 29575-3967
(843) 450-1886
Mailing address
11919 PLAZA DR, MURRELLS INLET, SC 29576-9356
(843) 450-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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