Individual
KENNETH W MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 SMITHVILLE CHURCH RD, WARNER ROBINS, GA 31088-7803
(478) 971-4799
Mailing address
245 SMITHVILLE CHURCH RD, WARNER ROBINS, GA 31088-7803
(478) 971-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009181
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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