Loris Family Dentistry, LLC

NPI #1104272996 in Loris, South Carolina

Provider Information

NPI Number: 1104272996
Entity Type: Organization
Organization Name: Loris Family Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: May 11, 2016
Last Updated: May 11, 2016

Practice Location

Address: 3681 SPIVEY ST
City: Loris
State: South Carolina
ZIP Code: 29569-2838
Phone: (843) 756-5747

Authorized Official

Name: DR. CRAIG L MILBURN, DMD
Title: PRESIDENT
Phone: (843) 756-5747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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