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Individual

DR. JEFFREY NELSON MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
421 HAMPSHIRE DR, BROOMALL, PA 19008-4143
(215) 350-4169
Mailing address
421 HAMPSHIRE DR, BROOMALL, PA 19008-4143
(215) 350-4169

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050954-1
NY
1223G0001X
General Practice Dentistry
Primary
DS037454
PA

Other

Enumeration date
03/01/2007
Last updated
03/15/2010
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