Organization
MILLER ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE G MILLER JR. D.M.D. (PRESIDENT)
(864) 699-9931
Entity
Organization
Contact information
Practice address
263 CALIFORNIA AVE, SPARTANBURG, SC 29303-2271
(864) 699-9931
(864) 699-9932
Mailing address
263 CALIFORNIA AVE, SPARTANBURG, SC 29303-2271
(864) 699-9931
(864) 699-9932
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
784
SC
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/14/2012
Last updated
07/28/2012
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