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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