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1477140226
SOUTH COAST DENTAL LLC
MYRTLE BEACH, SC
NPI
1477140226
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Entity Type
Organization
Authorized Contact
JUSTIN MICHAEL DAMMANN
Member/Dentist
843-446-3664
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
SOUTH COAST DENTAL LLC
5879 HIGHWAY 707
MYRTLE BEACH, SC 29588-7359
Phone number: 843-650-4707
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Mailing Address
SOUTH COAST DENTAL LLC
889 BLUFFVIEW DR
MYRTLE BEACH, SC 29579-5268
Phone number: 843-446-3664
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