Organization
MILLER DENTAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MILLER (OWNER)
(616) 530-3900
Entity
Organization
Contact information
Practice address
4391 CANAL AVE SW STE A, GRANDVILLE, MI 49418-2680
(616) 530-3900
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
06/20/2023
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