Individual
BRADEN GREY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2D DEN BN/NDC PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28540
(910) 451-2208
(910) 451-8036
Mailing address
2D DEN BN/NDC PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28540
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60120988
WA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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