Organization
ORTHODONTICS & PEDIATRIC ASSOC OF COMMACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE D. MILLER DMD (DENTIST/PARTNER)
(631) 499-2112
Entity
Organization
Contact information
Practice address
164 COMMACK RD, STE 4, COMMACK, NY 11725
(631) 499-3377
(631) 858-0586
Mailing address
164 COMMACK RD, STE 4, COMMACK, NY 11725
(631) 499-3377
(631) 858-0586
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048254
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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