Organization
MILLER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE A MILLER DDS (DENTIST)
(319) 377-9877
Entity
Organization
Contact information
Practice address
675 S 11TH ST, MARION, IA 52302-4962
(319) 377-9877
(319) 377-4558
Mailing address
675 S 11TH ST, MARION, IA 52302-4962
(319) 377-9877
(319) 377-4558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629197843
—
IA
Enumeration date
09/05/2008
Last updated
09/05/2008
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