Organization
MILLER DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STEWARD (PROVIDER RELATIONS MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3320 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1677
(616) 785-3100
Mailing address
3320 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1677
(616) 785-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020140
MI
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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