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Individual

DR. MARK ALLEN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., D.M.D.

Contact information

Practice address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 450-3100
(210) 450-2219
Mailing address
PO BOX 40397, SAN ANTONIO, TX 78229-1397
(270) 994-4565
(210) 567-2844

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32796
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME127863
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3722233
TX
Enumeration date
02/27/2006
Last updated
05/07/2018
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