Organization
MILLER FAMILY & COSMETIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MILLER (OWNER)
(843) 664-8777
Entity
Organization
Contact information
Practice address
1519 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 664-8777
Mailing address
1519 HERITAGE LN, FLORENCE, SC 29505-3141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9926
—
SC
Enumeration date
02/28/2007
Last updated
12/15/2016
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