Individual
DR. JEROLD WARREN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
(215) 864-0496
Mailing address
1845 WALNUT ST, SUITE 950, PHILADELPHIA, PA 19103-4708
(215) 567-0110
(215) 864-0496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS014614L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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