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Organization

DAVID L MILLER DDS PC

Active
Parent organization
DAVID L MILLER DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID L MILLER DDS
Authorized official
DAVID L MILLER DDS (OWNER)
(810) 694-2270
Entity
Organization

Contact information

Practice address
6011 PORTER RD, GRAND BLANC, MI 48439-8538
(810) 694-2270
(810) 694-2129
Mailing address
6011 PORTER RD, GRAND BLANC, MI 48439-8538
(810) 694-2270
(810) 694-2129

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10006
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4056318
MI
Enumeration date
01/22/2009
Last updated
01/22/2009
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