Individual
MATTHEW EDWARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
825 BROAD ST, GRINNELL, IA 50112-2153
(641) 236-6169
(641) 236-6041
Mailing address
1905 SUNSET ST, GRINNELL, IA 50112-1048
(641) 236-0096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08355
IA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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