Individual
JACOB D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1447 E MARKET ST, YORK, PA 17403-1254
(717) 845-2771
Mailing address
1447 E MARKET ST, YORK, PA 17403-1254
(717) 845-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043055
PA
Other
Enumeration date
05/01/2020
Last updated
05/27/2022
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