Organization
CHARLES N MILLER DDS PA
Active
Other names
Distinctive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N MILLER DDS (PRESIDENT)
(612) 718-3149
Entity
Organization
Contact information
Practice address
7631 145TH ST W, APPLE VALLEY, MN 55124-5511
(952) 432-8696
Mailing address
7631 145TH ST W, APPLE VALLEY, MN 55124-5511
(952) 432-8696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10738
MN
122300000X
Dentist
D7255
MN
Other
Enumeration date
10/25/2010
Last updated
07/11/2013
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