Organization
GOOSE CREEK FAMILY DENTISTRY LLC
Active
Organization
GOOSE CREEK FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL VERNON MILLER DDS (PARTNER)
(843) 764-3081
Entity
Organization
Contact information
Practice address
122 S GOOSE CREEK BLVD, SUITE A, GOOSE CREEK, SC 29445-3136
(843) 764-3081
(843) 764-4977
Mailing address
122 S GOOSE CREEK BLVD, SUITE A, GOOSE CREEK, SC 29445-3136
(843) 764-3081
(843) 764-4977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1560
SC
1223G0001X
General Practice Dentistry
4369
SC
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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