Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Other names
Waterway Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
101 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-3117
(843) 492-5861
(843) 492-5829
Mailing address
101 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-3117
(843) 492-5861
(843) 492-5829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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