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Organization

BERGER & MILLER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J MILLER DMD (PERIODONTIST/ OWNER)
(954) 791-7530
Entity
Organization

Contact information

Practice address
817 S UNIVERSITY DR, SUITE 100A, PLANTATION, FL 33324-3309
(954) 791-7530
(954) 791-7146
Mailing address
817 S UNIVERSITY DR, SUITE 100A, PLANTATION, FL 33324-3309
(954) 791-7530
(954) 791-7146

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10117
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235283177
NPI
FL
01
1790064665
NPI
FL
Enumeration date
07/18/2015
Last updated
03/16/2016
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