Organization
RANDALL A. MILLER, DDS, PC
Active
Other names
Randall A. Miller, DDS & David R. Blank, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ARMAND MILLER DDS (OWNER/DENTIST)
(802) 862-8348
Entity
Organization
Contact information
Practice address
66 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 862-8348
(802) 862-6823
Mailing address
66 COLCHESTER AVE, BURLINGTON, VT 05401
(802) 862-8348
(802) 862-6823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
954
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223G0001X
—
VT
Enumeration date
06/20/2007
Last updated
08/20/2008
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