Individual
PAUL E MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 N 30TH ST, QUINCY, IL 62301-3737
(217) 224-8002
(217) 224-5703
Mailing address
4906 PEBBLE BEACH DR, QUINCY, IL 62305-6013
(217) 224-8002
(217) 224-5703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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