Individual
DR. JAN S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 BELLE TERRE RD, SUITE 103, PORT JEFFERSON, NY 11777-1935
(631) 743-9090
(631) 743-9091
Mailing address
635 BELLE TERRE RD, SUITE 103, PORT JEFFERSON, NY 11777-1935
(631) 743-9090
(631) 743-9091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038216
NY
Other
Enumeration date
11/05/2006
Last updated
10/17/2013
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