Individual
RENEE C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5716 MICHIGAN AVE, SUITE 1100, DETROIT, MI 48210-3039
(313) 554-3880
(313) 899-3550
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485
(313) 228-0283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021853
MI
Other
Enumeration date
06/14/2016
Last updated
10/26/2017
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