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Organization
LOGAN MILLER DDS PLLC
Active
Organization
LOGAN MILLER DDS PLLC
Active
Other names
Austin Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN MILLER DDS (OWNER/MANAGER)
(208) 777-5264
Entity
Organization
Contact information
Practice address
6500 N MO PAC EXPY BLDG II, SUITE #2204, AUSTIN, TX 78731-3282
(512) 458-3111
Mailing address
1401 COLORADO BEND DR, CEDAR PARK, TX 78613-6981
(208) 777-5264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31875
TX
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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