Organization
MILLER DENTAL ASSOCIATES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E LYNN MILLER D.D.S. (PRESIDENT)
(573) 443-2434
Entity
Organization
Contact information
Practice address
904 ELM ST, SUITE 214, COLUMBIA, MO 65201-4875
(573) 443-2434
(573) 443-2496
Mailing address
904 ELM ST, SUITE 214, COLUMBIA, MO 65201-4875
(573) 443-2434
(573) 443-2496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12090
MO
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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