Organization
CLIO DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J MILLER DDS (OWNER)
(810) 687-9700
Entity
Organization
Contact information
Practice address
145 W VIENNA ST, CLIO, MI 48420-1333
(810) 687-9700
(810) 687-2695
Mailing address
145 W VIENNA ST, CLIO, MI 48420-1333
(810) 687-9700
(810) 687-2695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016386
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4418480
—
MI
Enumeration date
06/18/2006
Last updated
11/01/2007
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