Individual
DR. GERALD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012-3742
(815) 459-1214
Mailing address
600 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012-3742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12775419
IL
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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