Coastal Cosmetic Dental Associates,

NPI #1437284270 in Little River, South Carolina

Provider Information

NPI Number
1437284270
Entity Type
Organization
Organization Name
Coastal Cosmetic Dental Associates,
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1247 HIGHWAY 17
ZIP Code
29566-9211
Phone
(843) 249-4092

Authorized Official

Name
DR. PATTY R VAN WIE, DMD
Title
PRES
Phone
(843) 249-4092

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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