Individual
DR. STEPHEN ANDREW MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1128 COUNTRY CLUB RD, METROPOLIS, IL 62960-2810
(618) 524-2386
Mailing address
1128 COUNTRY CLUB RD, METROPOLIS, IL 62960-2810
(618) 524-2386
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
19A13885
IL
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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