Individual
BRODEN JOSEPH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1616 W MCNEESE ST, LAKE CHARLES, LA 70605-4244
(337) 478-3232
(337) 478-3206
Mailing address
1616 W MCNEESE ST, LAKE CHARLES, LA 70605-4244
(337) 478-3232
(337) 478-3206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6097
OH
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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