NPI | 1801019344 |
---|---|
Doing Business As | THE DENTIST OFFICE |
Entity Type | Organization |
Authorized Contact | JOHN A. MILLER Proprietor 843-546-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2942) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |