| Grand Strand Family And Esthetic Dentistry | |
|
4884 Socastee Blvd Myrtle Beach SC 29588-7245 | |
| (843) 293-6606 | |
| Not Available |
| Full Name | Grand Strand Family And Esthetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4884 Socastee Blvd, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Walter J Machowski (PRES) |
| Authorized Official Contact | 8432936606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Strand Family And Esthetic Dentistry 4884 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 293-6606 | Grand Strand Family And Esthetic Dentistry 4884 Socastee Blvd Myrtle Beach SC 29588-7245 Ph: (843) 293-6606 |
| NPI Number | 1790971927 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790971927 | NPI | - | NPPES |
| ZA9570 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2503 (South Carolina) | Primary |
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