Grand Strand Family And Esthetic Dentistry

NPI 1467596403 - Dentist - 1223G0001X

NPI Details
NPI 1467596403
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER WALTER
Position PRES
Phone (843) 448-6434
Fax
Practice Location
3409 N KINGS HWY
MYRTLE BEACH SC, 29577-2929, US
Phone (843) 448-6434
Fax
Business Location
3409 N KINGS HWY
MYRTLE BEACH SC, 29577-2929, US
Phone (843) 448-6434
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State South Carolina
License Number 2503
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According to our database, Grand Strand Family And Esthetic Dentistry NPI is 1467596403, taxonomy code is 1223G0001X and license number is 2503, license state is located at South Carolina. Grand Strand Family And Esthetic Dentistry physically located at 3409 N Kings Hwy, Myrtle Beach SC, 29577-2929. NPI Number 1033115704 has the healthcare provider type.

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1467596403 NPI number is provided on an as is basis without warranty of any kind. 1467596403 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Strand Family And Esthetic Dentistry are for informational purposes only.