Organization
BERKELEY SPRINGS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGIC M MILLER DDS (OWNER/DENTIST)
(304) 258-7800
Entity
Organization
Contact information
Practice address
1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
(304) 258-7800
(304) 258-1260
Mailing address
1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
(304) 258-7800
(304) 258-1260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3527
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4003051000
—
WV
Enumeration date
03/24/2017
Last updated
03/24/2017
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