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Organization
LYMAN DENTAL ASSOCIATES PC
Active
Organization
LYMAN DENTAL ASSOCIATES PC
Active
Other names
Lawrence G. Miller Jr DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE GARY MILLER JR. DMD (PRESIDENT)
(864) 439-1240
Entity
Organization
Contact information
Practice address
301 OLD SPARTANBURG RD., LYMAN, SC 29365
(864) 439-1240
(864) 439-1241
Mailing address
301 OLD SPARTANBURG RD., LYMAN, SC 29365
(864) 439-1240
(864) 439-1241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1309
SC
1223G0001X
General Practice Dentistry
Primary
4109
SC
1223G0001X
General Practice Dentistry
4500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9506
—
SC
Enumeration date
05/23/2007
Last updated
08/01/2008
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