Jeffrey H Wallen D.d.s. P.c.
NPI #1134242621 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1134242621
- Entity Type
- Organization
- Organization Name
- Jeffrey H Wallen D.d.s. P.c.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jun 5, 2008
Practice Location
- Address
- 1200 48TH AVE N STE 101
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-5423
- Phone
- (843) 449-4993
Authorized Official
- Name
- DR. JEFFREY HUGH WALLEN, D.D.S.
- Title
- OWNER
- Phone
- (843) 449-4993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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