| Loris Family Dentistry, Llc | |
|
3681 Spivey St Loris SC 29569-2838 | |
| (843) 756-5747 | |
| Not Available |
| Full Name | Loris Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3681 Spivey St, Loris, South Carolina |
| Authorized Official Name and Position | Craig L Milburn (PRESIDENT) |
| Authorized Official Contact | 8437565747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loris Family Dentistry, Llc 3681 Spivey St Loris SC 29569-2838 Ph: (843) 756-5747 | Loris Family Dentistry, Llc 3681 Spivey St Loris SC 29569-2838 Ph: (843) 756-5747 |
| NPI Number | 1104272996 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104272996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | SC 4356 (South Carolina) | Primary |
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