Organization
MILLER DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW IVAN MILLER DDS (PRESIDENT)
(317) 894-3400
Entity
Organization
Contact information
Practice address
11701 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2947
(317) 894-3400
(317) 894-3475
Mailing address
11701 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2947
(317) 894-3400
(317) 894-3475
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54001736A
IN
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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