Organization
PEDIATRIC DENTISTRY FOR INFANTS CHILDREN & TEENS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE R MILLER DMD (OWNER)
(770) 482-4661
Entity
Organization
Contact information
Practice address
7215 STONECREST PARKWAY, LITHONIA, GA 30038
(770) 482-4661
Mailing address
7215 STONECREST PARKWAY, LITHONIA, GA 30038
(770) 482-4661
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
07/10/2008
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