Individual
MARISSA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3874 BURBANK ROAD, WOOSTER,, OH 44691
(330) 262-8383
(330) 345-5223
Mailing address
PO BOX 3189, SYRACUSE, NY 13220
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022851
OH
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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