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1104243740
SPARKLE DENTAL CENTER INC.
MYRTLE BEACH, SC
NPI
1104243740
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Entity Type
Organization
Authorized Contact
CAMERON JULIUS BANKS
President
843-833-3555
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2014-03-20
Last Update Date
2014-03-20
Business Address
SPARKLE DENTAL CENTER INC.
8848 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-7739
Phone number: 843-650-6700
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Mailing Address
SPARKLE DENTAL CENTER INC.
PO BOX 1861
GEORGETOWN, SC 29442-1861
Phone number: 843-833-3555
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