| NPI | 1588082762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARIS WAYNE MILLIGAN D.Md. 910-799-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4095) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |