Individual
DR. LARRY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 DAVIS ST, MONROE, GA 30655-1600
(770) 267-2301
Mailing address
101 DAVIS ST, PO BOX 926, MONROE, GA 30655-1600
(770) 267-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN08786
GA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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