Adult and Children's Dentistry at Carolina Forest INC
NPI #1093096984 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1093096984
- Entity Type
- Organization
- Organization Name
- Adult and Children's Dentistry at Carolina Forest INC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 6, 2011
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 4032 RIVER OAKS DR STE 2
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-6696
- Phone
- (843) 903-8800
Authorized Official
- Name
- DR. JEFFERY S WALSH, DMD
- Title
- PRESIDENT
- Phone
- (843) 457-4651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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