Individual
MR. MARK E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
558 E BAY AVE, MANAHAWKIN, NJ 08050-3340
(609) 597-3500
Mailing address
558 E BAY AVE, MANAHAWKIN, NJ 08050-3340
(609) 597-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01469400
NJ
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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