Organization
FOREST CROSSING FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG LEE MILBURN DMD (MEMBER)
(864) 367-6928
Entity
Organization
Contact information
Practice address
4999 CAROLINA FOREST BLVD STE 14, MYRTLE BEACH, SC 29579-3588
(843) 903-4700
Mailing address
418 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3041
(843) 249-7736
(843) 249-3259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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