Organization
MILLER DDS OF BRIDGEWATER, PC
Active
Other names
Parkside Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN R MILLER D.D.S (DOCTOR/PRESIDENT)
(540) 828-3518
Entity
Organization
Contact information
Practice address
100 PARKSIDE DR, BRIDGEWATER, VA 22812-1755
(540) 828-3518
(540) 828-6667
Mailing address
100 PARKSIDE DR, BRIDGEWATER, VA 22812-1755
(540) 828-3518
(540) 828-6667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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