Individual
DR. MATTHEW MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 BROAD RIVER RD, SUITE L, COLUMBIA, SC 29210-6055
(803) 772-4949
Mailing address
2700 BROAD RIVER RD, SUITE L, COLUMBIA, SC 29210-6055
(803) 772-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08481
IA
122300000X
Dentist
Primary
8472
SC
Other
Enumeration date
06/16/2008
Last updated
05/27/2015
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