Individual
DR. JACOB STEPHEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5001 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1050
(616) 364-7039
Mailing address
3404 LINWOOD AVE, ROYAL OAK, MI 48073-2315
(616) 901-9148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
L2251493
MI
Other
Enumeration date
05/29/2012
Last updated
01/31/2024
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