| NPI | 1780008110 |
|---|---|
| Doing Business As | OCEAN DRIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CRAIG LEE MILBURN Owner 843-249-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |