Gregory Lee Miller

NPI #1023595899 in Salem, Oregon

Provider Information

NPI Number: 1023595899
Entity Type: Individual
Name: Gregory Lee Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 25, 2018
Last Updated: Jul 25, 2018

Practice Location

Address: 3405 DERR PARK RD SE
City: Salem
State: Oregon
ZIP Code: 97310-0001
Phone: (503) 373-0891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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