Individual
CARL BRADLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 MARINA BAY DR STE Z, LEAGUE CITY, TX 77573-2855
(573) 268-2505
Mailing address
2500 MARINA BAY DR STE Z, LEAGUE CITY, TX 77573-2855
(573) 268-2505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
015407
MO
1223G0001X
General Practice Dentistry
Primary
37680
TX
Other
Enumeration date
01/22/2007
Last updated
07/10/2023
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