INTERCOASTAL ENDO, PC

MYRTLE BEACH, SC
NPI1881007946
Entity TypeOrganization
Authorized ContactMARK C CONARD
President
843-449-4900
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: SC  4617)
Enumeration Date2014-06-06
Last Update Date2018-06-07
Business Address
INTERCOASTAL ENDO, PC
4382 OLEANDER DR
MYRTLE BEACH, SC 29577
Phone number: 843-449-4900
Mailing Address
INTERCOASTAL ENDO, PC
4382 OLEANDER DR
MYRTLE BEACH, SC 29577
Phone number: 843-449-4900