Individual
DR. MARK ROBERT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7801 YORK RD, SUITE 307, TOWSON, MD 21204-7446
(410) 823-1751
(410) 825-8509
Mailing address
7801 YORK ROAD, SUITE 307, TOWSON, MD 21204-7449
(410) 823-1751
(410) 825-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7241
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110798
MAMSI
MD
01
—
4642
BLUE CROSS BLUE SHIELD
MD
01
—
653204
UNITED CONCORDIA
MD
Enumeration date
05/03/2007
Last updated
07/08/2007
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