Organization
MARK D, MILLERDDSPSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DELMAR MILLER DDS (PRESIDENT)
(270) 885-0165
Entity
Organization
Contact information
Practice address
320 COOL WATER CT, HOPKINSVILLE, KY 42240-8738
(270) 885-0165
(270) 886-2224
Mailing address
320 COOL WATER CT, HOPKINSVILLE, KY 42240-8738
(270) 885-0165
(270) 886-2224
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
04/02/2008
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