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Individual

DR. MAGIC MARQUETIA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
(304) 258-7800
(304) 258-1260
Mailing address
1911 VALLEY RD, BERKELEY SPRINGS, WV 25411-4815
(304) 258-7800
(304) 258-1260

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3527
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4003051-000
WV
Enumeration date
11/01/2006
Last updated
07/09/2007
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