Organization
INNOVATIVE ENDODONTICS MB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA R ESTES DMD, MSD (OWNER, ENDODONTIST)
(603) 986-3686
Entity
Organization
Contact information
Practice address
3033 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588
(843) 900-3414
(843) 377-8695
Mailing address
227 STALLSVILLE LOOP, SUITE A, SUMMERVILLE, SC 29485
(843) 900-3414
(843) 377-8695
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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