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Individual

DR. ROGER DUANE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
811 WEST GRAND RIVER AVE, PORTLAND, MI 48875
(517) 647-7878
(517) 647-2916
Mailing address
811 WEST GRAND RIVER AVE, PORTLAND, MI 48875
(517) 647-7878
(517) 647-2916

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012012
MI

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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