Individual
DR. DANIEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10163 SE SUNNYSIDE RD, SUITE 414, CLACKAMAS, OR 97015-5743
(503) 653-4079
Mailing address
10163 SE SUNNYSIDE RD, SUITE 414, CLACKAMAS, OR 97015-5743
(503) 653-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9624
OR
Other
Enumeration date
07/21/2011
Last updated
01/25/2015
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