Individual
DR. HOMER DARRELL MILEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 N STURMER ST, BELINGTON, WV 26250-9216
(304) 823-2100
Mailing address
305 N STURMER ST, BELINGTON, WV 26250-9216
(304) 823-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2126
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136986000
—
WV
Enumeration date
09/27/2006
Last updated
07/09/2007
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