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Individual

DR. KENNETH ARTHUR MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2790 GARDENWOOD CT SW, LILBURN, GA 30047-4784
(770) 979-9986
(770) 979-9986
Mailing address
2790 GARDENWOOD CT SW, LILBURN, GA 30047-4784
(770) 979-9986
(770) 979-9986

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8281
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
401
MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY
GA
Enumeration date
10/01/2008
Last updated
10/01/2008
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