Individual
DAVID EDWARD MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1410 PLAZA WEST RD, WINSTON SALEM, NC 27103
(336) 765-1881
(336) 765-3250
Mailing address
7529 MAIDWOOD CT, CLEMMONS, NC 27012
(336) 766-7341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995952
—
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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