| Surfside Sw Llc | |
|
811 5th Ave N Surfside Beach SC 29575-3967 | |
| (843) 450-1886 | |
| Not Available |
| Full Name | Surfside Sw Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 811 5th Ave N, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Scott John Willis (OWNER) |
| Authorized Official Contact | 8434501886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Sw Llc 11919 Plaza Dr Murrells Inlet SC 29576-9356 Ph: (843) 450-1886 | Surfside Sw Llc 811 5th Ave N Surfside Beach SC 29575-3967 Ph: (843) 450-1886 |
| NPI Number | 1851115810 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851115810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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