Organization
MILLER ORAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE C JACOBS (BUSINESS MANAGER)
(717) 657-4400
Entity
Organization
Contact information
Practice address
400 NATIONWIDE DR, HARRISBURG, PA 17110-9752
(717) 657-4400
(717) 657-4410
Mailing address
400 NATIONWIDE DR, HARRISBURG, PA 17110-9752
(717) 657-4400
(717) 657-4410
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS027491L
PA
Other
Enumeration date
02/09/2006
Last updated
05/02/2008
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