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Organization
C KNOX MCMILLAN DDS, MS, PA ,
Active
Organization
C KNOX MCMILLAN DDS, MS, PA ,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C KNOX MCMILLAN D.D.S. M.S. P.A. (PERIODONTIST)
(919) 781-6217
Entity
Organization
Contact information
Practice address
2310 MYRON DR, RALEIGH, NC 27607-3358
(919) 781-6217
(919) 781-6213
Mailing address
2310 MYRON DR, RALEIGH, NC 27607-3358
(919) 781-6217
(919) 781-6213
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3581
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995843
—
NC
Enumeration date
05/24/2007
Last updated
09/04/2007
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