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Organization
MILLER DDS OF HAYMARKET, PC
Active
Organization
MILLER DDS OF HAYMARKET, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN RAY MILLER DDS (PRESIDENT)
(703) 753-7077
Entity
Organization
Contact information
Practice address
6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-7077
(703) 753-6973
Mailing address
6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-7077
(703) 753-6973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008691
VA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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