Individual
ROGER LUCAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROSTHODONTIST
Contact information
Practice address
76 NEALY BLVD, HAMPTON, VA 23665-2022
(757) 225-8276
Mailing address
76 NEALY BLVD, HAMPTON, VA 23665-2022
(572) 258-2767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
51554169921
UT
1223P0700X
Prosthodontics
Primary
5155416-9921
UT
Other
Enumeration date
02/03/2006
Last updated
01/20/2023
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