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Individual

DR. MICHAEL R MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1519 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 664-8777
Mailing address
1519 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 664-8777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3064
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z30645
SC
Enumeration date
06/06/2006
Last updated
07/08/2007
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