COASTAL ENDONTICS, LLC

PAWLEYS ISLAND, SC
NPI1093996282
Entity TypeOrganization
Authorized ContactRUSSELL S EDDY
Member
843-235-9780
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: SC  3662)
Enumeration Date2007-11-16
Last Update Date2007-11-16
Business Address
COASTAL ENDONTICS, LLC
277B WILLBROOK BOULEVARD
PAWLEYS ISLAND, SC 29585-8776
Phone number: 843-235-9780
Mailing Address
COASTAL ENDONTICS, LLC
PO BOX 4776
PAWLEYS ISLAND, SC 29585-8776
Phone number: 843-235-9780
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