Individual
DR. CHARLES A. MILLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9701 SE 43RD AVE, MILWAUKIE, OR 97222-5768
(503) 659-1322
(503) 659-4880
Mailing address
9701 SE 43RD AVE, MILWAUKIE, OR 97222-5768
(503) 659-1322
(503) 659-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4902
OR
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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