Individual
DR. BRIAN H. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
801 MAIN ST, CONCORD, MA 01742-3313
(978) 369-4709
Mailing address
23 LOCKE RD, WABAN, MA 02468-1415
(617) 969-2779
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272019
—
MA
Enumeration date
05/29/2007
Last updated
07/09/2007
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