NPI | 1417309956 |
---|---|
Doing Business As | MCMILLAN DENTAL |
Entity Type | Organization |
Authorized Contact | DWIGHT MCMILLAN President 803-707-8660 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: SC 3333) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3333) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |