Organization
CHARLES E MILLWOOD JR DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD MILLWOOD JR. DMD (DENTIST)
(803) 796-1734
Entity
Organization
Contact information
Practice address
1313 STATE STREET, CAYCE, SC 29033
(803) 796-1734
(803) 796-5041
Mailing address
1313 STATE STREET, CAYCE, SC 29033
(803) 796-1734
(803) 796-5041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1857
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18570
—
SC
05
—
ZA9850
—
SC
Enumeration date
08/21/2006
Last updated
06/23/2008
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