Individual
BRUCE WILLIAMSON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3100 PINERIDGE LN, GASTONIA, NC 28056-7092
(704) 864-2608
(704) 864-2609
Mailing address
208 WEST 11TH AVENUE, GASTONIA, NC 28052
(704) 865-6002
(704) 864-2609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC4670
NC
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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