| NPI | 1598973430 |
|---|---|
| Former Legal Business Name | GREGORY A. MILLWOOD, DMD, LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY A. MILLWOOD Dentist 803-796-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3904) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-08-21 |