Individual
NICHOLAS EDWARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
678 FELLSWAY, MEDFORD, MA 02155-4901
(781) 391-8979
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22134
MA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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