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Individual

DR. KENNETH THOMPSON MILLER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
113 FOY DR, ROCKY MOUNT, NC 27804-2418
(252) 443-6616
Mailing address
113 FOY DR, ROCKY MOUNT, NC 27804-2418
(252) 443-6616

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8458
NC

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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