Individual
DR. TIMOTHY JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
485 SOUTH DR STE B, MOUNTAIN VIEW, CA 94040-4208
(650) 962-9858
Mailing address
485 SOUTH DR STE B, MOUNTAIN VIEW, CA 94040-4208
(650) 962-9858
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
39845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770600928
TAX IDENTIFICATION NUMBER
CA
Enumeration date
05/09/2007
Last updated
07/08/2007
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