Individual
BRADLEY S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
301 60TH ST, WEST NEW YORK, NJ 07093-5422
(201) 854-6777
(201) 854-6097
Mailing address
301 60TH ST, WEST NEW YORK, NJ 07093-5422
(201) 854-6777
(201) 854-6097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
024323
NJ
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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