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Organization

COASTAL PERIODONTICS LLC

Active
Other names
Coastal Periodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEONARD JAMES COCHRANE III DMD (OWNER/PERIODONTIST)
(864) 313-6656
Entity
Organization

Contact information

Practice address
4610 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577-5752
(843) 839-4711
Mailing address
4610 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577-5752
(843) 839-4711

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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