COASTAL COSMETIC DENTAL ASSOCIATES,

LITTLE RIVER, SC
NPI1437284270
Entity TypeOrganization
Authorized ContactPATTY R VAN WIE
Pres
843-249-4092
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: SC  2537)
Enumeration Date2007-02-22
Last Update Date2020-08-22
Business Address
COASTAL COSMETIC DENTAL ASSOCIATES,
1247 HIGHWAY 17
LITTLE RIVER, SC 29566-9211
Phone number: 843-249-4092
Mailing Address
COASTAL COSMETIC DENTAL ASSOCIATES,
PO BOX 635
LITTLE RIVER, SC 29566-0635
Phone number: 843-249-4092
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