Organization
JARED MILLER DDS PLLC
Active
Other names
Gantry Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JARED MILLER DDS (OWNER)
(929) 344-5310
Entity
Organization
Contact information
Practice address
548 50TH AVE, LONG ISLAND CITY, NY 11101-5712
(929) 344-5310
Mailing address
548 50TH AVE, LONG ISLAND CITY, NY 11101-5712
(929) 344-5310
(929) 344-5308
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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