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Individual

MR. RICHARD REED MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
812 SOUTH PINE STREET, STILLWATER, OK 74074
(405) 624-1300
(405) 624-3084
Mailing address
812 SOUTH PINE STREET, STILLWATER, OK 74074
(405) 624-1300
(405) 624-3084

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4651
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4651
LICENSE NUMBER
OK
Enumeration date
12/04/2006
Last updated
07/08/2007
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