Individual
DR. DEREK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7-174 MOOS TOWER 515 DELAWARE ST. S, U OF M ORAL SURGERY, MINNEAPOLIS, MN 55455
(701) 306-4741
Mailing address
1342 TERRITORY DR, BISMARCK, ND 58503-0168
(701) 306-4741
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
R674
MN
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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