Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Dental Care at Sayebrook
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
107 LANSFORD CT, MYRTLE BEACH, SC 29588-6979
(854) 600-1540
(854) 600-1538
Mailing address
107 LANSFORD CT, MYRTLE BEACH, SC 29588-6979
(854) 600-1540
(854) 600-1538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
12/28/2023
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