Organization
LARIS W. MILLIGAN D.M.D., M.S., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARIS WAYNE MILLIGAN (D.MD.)
(910) 799-5000
Entity
Organization
Contact information
Practice address
2250 SHIPYARD BLVD, STE 14, WILMINGTON, NC 28403-8024
(910) 799-5000
Mailing address
2250 SHIPYARD BLVD, STE 14, WILMINGTON, NC 28403-8024
(910) 799-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4095
NC
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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