Individual
COLLIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(716) 984-0263
Mailing address
192 SENECA ST, BUFFALO, NY 14204-2073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063924
NY
Other
Enumeration date
11/02/2022
Last updated
09/04/2025
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