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Individual

DR. LANCE T MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
749 UNIVERSITY ROW, MADISON, WI 53705
(608) 238-7112
(608) 238-1061
Mailing address
749 UNIVERSITY ROW, MADISON, WI 53705
(608) 238-7112
(608) 238-1061

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
5131
WI
1223G0001X
General Practice Dentistry
5131
WI
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/26/2007
Last updated
10/03/2013
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