Individual
DR. DONALD T. MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
619 E MAIN ST, GENOA, IL 60135-1309
(815) 784-5166
(815) 784-5167
Mailing address
619 E MAIN ST, GENOA, IL 60135-1309
(815) 784-5166
(815) 784-5167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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