Organization
WM J MILLER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MILLER DMD (OWNER PARTNER)
(314) 838-3033
Entity
Organization
Contact information
Practice address
1645 N NEW FLORISSANT RD, FLORISSANT, MO 63033
(314) 838-3033
Mailing address
1645 N NEW FLORISSANT RD, FLORISSANT, MO 63033
(314) 838-3033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11910
MO
122300000X
Dentist
2000167581
MO
122300000X
Dentist
Primary
2001014860
MO
Other
Enumeration date
12/05/2006
Last updated
07/25/2008
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