Individual
DR. JEFFREY T MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8704 W PICO BLVD, LOS ANGELES, CA 90035-2206
(310) 839-8303
Mailing address
2790 FORRESTER DR, LOS ANGELES, CA 90064-3446
(310) 839-8303
(310) 839-8304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52648
CA
1223P0300X
Periodontics
Primary
52648
CA
Other
Enumeration date
04/25/2007
Last updated
12/20/2017
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