Individual
DR. NATHAN KING MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21610 PACIFIC HWY, OCEAN PARK, WA 98640-3206
(360) 665-3000
Mailing address
2813 FIDDLEBACK ST NE, LACEY, WA 98516-4426
(316) 393-4493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2015018855
MO
1223G0001X
General Practice Dentistry
Primary
DE60938377
WA
Other
Enumeration date
08/28/2015
Last updated
03/16/2020
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