| NPI | 1538379086 |
|---|---|
| Former Legal Business Name | LAWRENCE G. MILLER JR DMD PC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GARY MILLER President 864-439-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4109) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4500) |
| 1223G0001X Dentist, General Practice (Licence: SC 1309) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-08-01 |