Individual
DR. MICHAEL MARK MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.P.H.
Contact information
Practice address
15 AMELIA DR, NANTUCKET, MA 02554-6063
(508) 325-0583
(508) 325-6734
Mailing address
15 AMELIA DR, NANTUCKET, MA 02554-6063
(508) 325-0583
(508) 325-6734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18850
MA
Other
Enumeration date
05/29/2007
Last updated
03/08/2011
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