Individual
DR. DANIEL WALTER MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1616 AZALEA DR, SURFSIDE BEACH, SC 29575
(843) 238-5111
(843) 238-2412
Mailing address
PO BOX 15128, SURFSIDE BEACH, SC 29578
(843) 238-5111
(843) 238-2412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9758 SC
—
SC
Enumeration date
11/15/2007
Last updated
11/15/2007
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