Organization
CHARLES N. MILLER DDS PA
Active
Other names
Distinctive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N MILLER DDS (PRESIDENT)
(507) 332-8888
Entity
Organization
Contact information
Practice address
417 LINCOLN AVE NW, FARIBAULT, MN 55021-4952
(507) 332-8888
Mailing address
417 LINCOLN AVE NW, FARIBAULT, MN 55021-4952
(507) 332-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10738
MN
1223G0001X
General Practice Dentistry
D7255
MN
Other
Enumeration date
10/25/2010
Last updated
08/22/2013
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