Individual
DR. JONATHAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2425 E 12 MILE RD, WARREN, MI 48092-5667
(586) 558-6684
Mailing address
2425 E 12 MILE RD, WARREN, MI 48092-5667
(586) 558-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020650
MI
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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