Individual
VAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1955 WHARTON ST, PITTSBURGH, PA 15203
(724) 728-3300
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS025656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013953000003
—
PA
05
—
0013953000019
—
PA
Enumeration date
04/07/2006
Last updated
03/16/2016
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