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Organization

JEROLD W. MILLER, DDS, PC

Active
Other names
Dentists On The Square
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROLD WARREN MILLER D.D.S. (PRESIDENT)
(215) 567-0110
Entity
Organization

Contact information

Practice address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
(215) 864-0496
Mailing address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
(215) 864-0496

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PA

Other

Enumeration date
05/23/2007
Last updated
08/22/2020
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