Organization
CONWAY FAMILY DENTISTRY, LLC
Active
Other names
Conway Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG LEE MILBURN DMD (MEMBER)
(864) 367-6928
Entity
Organization
Contact information
Practice address
611 CHURCH ST, CONWAY, SC 29526-4823
(843) 248-4115
Mailing address
611 CHURCH ST, CONWAY, SC 29526-4823
(843) 248-4115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4356
SC STATE LICENSE
SC
Enumeration date
09/24/2019
Last updated
09/24/2019
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