| Riesenberg Family Dental, Llc | |
|
512 Highway 17 N North Myrtle Beach SC 29582-2904 | |
| (843) 580-1917 | |
| Not Available |
| Full Name | Riesenberg Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 512 Highway 17 N, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Katie Lauren Riesenberg (OWNER DENTIST) |
| Authorized Official Contact | 8435801917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riesenberg Family Dental, Llc 8225 Sandlapper Way Myrtle Beach SC 29572-8178 Ph: (513) 484-4740 | Riesenberg Family Dental, Llc 512 Highway 17 N North Myrtle Beach SC 29582-2904 Ph: (843) 580-1917 |
| NPI Number | 1558052514 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558052514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |