Organization
MARISSA L. MILLER, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISSA L MILLER DDS (PRESIDENT)
(419) 342-4217
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SHELBY, OH 44875-1476
(417) 342-4217
Mailing address
100 W MAIN ST, SHELBY, OH 44875-1476
(417) 342-4217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022851
OH
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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