Individual
DR. PAUL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
102 E. 107TH ST, CROWN POINT, IN 46307
(219) 750-1150
Mailing address
102 E 107TH ST, CROWN POINT, IN 46307
(219) 750-1150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011904A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2008
Last updated
01/24/2014
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