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Individual

DR. JOHN BALTON MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
103 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 793-7232
(334) 712-7720
Mailing address
103 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 793-7232
(334) 712-7720

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4183
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4183
STATE LICENSE #
AL
Enumeration date
07/12/2006
Last updated
07/08/2007
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