If you don't like remembering SQL syntax, using Mig# you can simply:
var schema = new DbSchema(ConnectionString, DbPlatform.SqlServer2014);
schema.Alter(db => db.CreateTable("Customer")
.WithPrimaryKeyColumn("Id", DbType.Int32).AsIdentity()
.WithNotNullableColumn("First_Name", DbType.String).OfSize(50)
.WithNotNullableColumn("Last_Name", DbType.String).OfSize(50)
...);
If you are not sure if it already exists, call DropIfExists
before:
db.Tables["Customers"].DropIfExists();