Individual
DR. CHARLES E MCMILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13584 UNIVERSITY PLAZA ST, TAMPA, FL 33613
(813) 971-8141
Mailing address
PO BOX 90636, LAKELAND, FL 33804-0636
(863) 838-4494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12363
FL
Other
Enumeration date
06/05/2007
Last updated
09/06/2018
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