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Organization

MILLER FAMILY DENTISTRY & IMPLANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYCE L MILLER DMD (DR.)
(618) 842-7140
Entity
Organization

Contact information

Practice address
301 NW 11TH ST STE 215, FAIRFIELD, IL 62837-1269
(618) 842-7140
(618) 842-4028
Mailing address
301 NW 11TH ST STE 215, FAIRFIELD, IL 62837-1269
(618) 842-7140
(618) 842-4028

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/28/2021
Last updated
12/28/2021
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