Organization
MARK A. MILLER, D.D.S., PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. MILLER (OWNER)
(731) 668-9898
Entity
Organization
Contact information
Practice address
111 MURRAY GUARD DR, SUITE A, JACKSON, TN 38305-3772
(731) 668-9898
Mailing address
111 MURRAY GUARD DR, SUITE A, JACKSON, TN 38305-3772
(731) 668-9898
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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