Individual
DR. CRAIG ROBERT MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
518 E MAIN ST, STE 106, RIVERHEAD, NY 11901-2529
(631) 727-0103
(631) 727-5423
Mailing address
518 E MAIN ST, STE 106, RIVERHEAD, NY 11901-2529
(631) 727-0103
(631) 727-5423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0288581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00389120
—
NY
Enumeration date
11/11/2005
Last updated
07/08/2007
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