Individual
LEVI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WYOMING ST., DEPT OF MEDICAL EDUCATION, DAYTON, OH 45409
(937) 208-2205
Mailing address
1 WYOMING ST., DEPT OF MEDICAL EDUCATION, DAYTON, OH 45409
(937) 208-2205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027762
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2022
Last updated
12/13/2024
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