Individual
RYAN KEITH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40255 GRAND RIVER AVE, SUITE 200, NOVI, MI 48375-2149
(248) 442-0400
Mailing address
30733 SHIAWASSEE RD, APT 42, FARMINGTON HILLS, MI 48336-4368
(248) 476-9283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019139
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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