Individual
DR. LARRY RANDALL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
996 TOP ST, FLOWOOD, MS 39232-9541
(601) 936-2526
(601) 936-2426
Mailing address
996 TOP ST, FLOWOOD, MS 39232-9541
(601) 936-2526
(601) 936-2426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2498-89
MS
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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