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Organization
MATTHEW LEE MILLER
Active
Organization
MATTHEW LEE MILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LEE MILLER DDS (OWNER/DENTIST)
(304) 229-5851
Entity
Organization
Contact information
Practice address
372 MIDDLEWAY PIKE STE A, INWOOD, WV 25428-3909
(304) 229-5851
(304) 229-0666
Mailing address
372 MIDDLEWAY PIKE STE A, INWOOD, WV 25428-3909
(304) 229-5851
(304) 229-0666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4292
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790048247
—
WV
05
—
1912922873
—
WV
Enumeration date
07/31/2018
Last updated
07/31/2018
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