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Individual

DR. CHARLES KNOX MCMILLAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

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

Enumeration date
12/13/2005
Last updated
07/08/2007
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