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ERIC HAZLETT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1860 E EGBERT ST, BRIGHTON, CO 80601-2475
(303) 892-6401
(720) 322-9434
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00006680
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02066801
CO
Enumeration date
01/30/2006
Last updated
11/08/2013
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