NPI | 1386295012 |
---|---|
Doing Business As | CONWAY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CRAIG LEE MILBURN Member 864-367-6928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-09-24 |
Last Update Date | 2019-09-24 |