Organization
RAINTREE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R MILLER DDS (OWNER)
(260) 760-0611
Entity
Organization
Contact information
Practice address
120 S MEMORIAL DR STE F, NEW CASTLE, IN 47362-4991
(765) 528-8778
Mailing address
10152 FALCON COVE CIR, INDIANAPOLIS, IN 46236-8495
(260) 760-0611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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