Individual
MR. GARY WARREN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 E OKLAHOMA AVE, SUITE 102, ENID, OK 73701-5951
(580) 242-1500
Mailing address
615 E OKLAHOMA SUITE 102, DR GARY W MILLER DDS, ENID, OK 73701
(580) 242-1500
(580) 242-0029
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3640
OK
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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