Individual
DR. ROBERT A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2135 MONROE ST, DEARBORN, MI 48124-2922
(313) 561-0400
(313) 561-8326
Mailing address
2135 MONROE ST, DEARBORN, MI 48124-2922
(313) 561-0400
(313) 561-8326
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507814
MIDA
—
01
—
970H27859
BLUE CROSS
—
Enumeration date
10/14/2005
Last updated
05/04/2010
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