Individual
CHRISTOPHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
651 NAUTICA DR UNIT 1, JACKSONVILLE, FL 32218-7222
(904) 423-4014
Mailing address
12365 NW 52ND CT, CORAL SPRINGS, FL 33076-3435
(954) 663-8752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28287
FL
122300000X
Dentist
Primary
DN28287
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2023
Last updated
07/07/2023
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