Individual
DR. MAXWELL STEPHEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 N MERIDIAN ST, SUITE 808, INDIANAPOLIS, IN 46204-1719
(317) 632-6258
Mailing address
6155 TYBALT LN, INDIANAPOLIS, IN 46254-5124
(317) 833-3827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011489A
IN
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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