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Individual

DR. CHARLES W MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4220 LITTLE ROAD, ARLINGTON, TX 76016
(817) 478-2300
(817) 478-4904
Mailing address
4220 LITTLE ROAD, ARLINGTON, TX 76016
(817) 478-2300
(817) 478-4904

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12597
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133274407
TX
05
133274409
TX
Enumeration date
06/30/2005
Last updated
01/28/2022
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