Organization
LORIS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG L MILBURN DMD (PRESIDENT)
(843) 756-5747
Entity
Organization
Contact information
Practice address
3681 SPIVEY ST, LORIS, SC 29569-2838
(843) 756-5747
Mailing address
3681 SPIVEY ST, LORIS, SC 29569-2838
(843) 756-5747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC 4356
SC
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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