Individual
DR. MATTHEW JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4400 HAVERFORD AVE, PHILADELPHIA, PA 19104-1361
(215) 685-7673
Mailing address
2041 BAINBRIDGE ST, APT 2, PHILADELPHIA, PA 19146-1308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038388
PA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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