| Little Waves Pediatric Dentistry | |
|
4603 Oleander Drive Unit 3,4,5 Myrtle Beach SC 29577 | |
| (843) 353-3319 | |
| (843) 353-3238 |
| Full Name | Little Waves Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4603 Oleander Drive, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Lori Porras (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9543833893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Waves Pediatric Dentistry 584 Starlit Way Myrtle Beach SC 29579-4322 Ph: () - | Little Waves Pediatric Dentistry 4603 Oleander Drive Unit 3,4,5 Myrtle Beach SC 29577 Ph: (843) 353-3319 |
| NPI Number | 1336917145 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336917145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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