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Organization

MILLER DENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODRIC LEDELL MILLER D.D,S. (PRESIDENT/ DENTIST)
(901) 373-5433
Entity
Organization

Contact information

Practice address
5124 STAGE RD STE C-2, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322
Mailing address
5124 STAGE RD STE C-2, MEMPHIS, TN 38134-3164
(901) 373-5433
(901) 373-7322

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000007946
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3207279
TN
Enumeration date
02/22/2011
Last updated
02/22/2011
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