Individual
DR. MATTHEW BRADEN BURNS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349
(860) 694-3094
Mailing address
12 SOMERSET LN, OLD LYME, CT 06371-1737
(301) 775-4866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00009227
WA
1223P0300X
Periodontics
Primary
12339
CT
Other
Enumeration date
10/04/2005
Last updated
10/16/2019
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