Individual
LARIS WAYNE MILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2250 SHIPYARD BLVD STE 6, WILMINGTON, NC 28403-8070
(910) 799-5000
(910) 799-2005
Mailing address
2250 SHIPYARD BLVD STE 6, WILMINGTON, NC 28403-8070
(910) 799-5000
(910) 799-2005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4095
NC
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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