Individual
JARED MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
548 50TH AVE, LONG ISLAND CITY, NY 11101-5712
(929) 344-5310
Mailing address
548 50TH AVE, LONG ISLAND CITY, NY 11101-5712
(929) 344-5310
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
059604
NY
Other
Enumeration date
11/19/2014
Last updated
06/18/2025
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