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Individual

DR. RANDALL WAYNE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
275 SADDLEBROOK TER, ROSWELL, GA 30075-2453
(770) 518-5682
Mailing address
275 SADDLEBROOK TER, ROSWELL, GA 30075-2453
(770) 518-5682

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010617
GA

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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