Organization
MILLER DDS OF HAYMARKET, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN RAY MILLER DDS (PRESIDENT)
(703) 753-7077
Entity
Organization
Contact information
Practice address
6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-7077
(703) 753-6973
Mailing address
6735 LEA BERRY WAY, HAYMARKET, VA 20169-2991
(703) 753-7077
(703) 753-6973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008691
VA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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