Individual
DR. MARK RICHARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1730 SCHROCK RD, COLUMBUS, OH 43229
(614) 890-2884
(614) 818-1199
Mailing address
1730 SCHROCK RD, COLUMBUS, OH 43229
(614) 890-2884
(614) 818-1199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479290
—
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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