Miller Dental

NPI #1053600262 in Fort Worth, Texas

Provider Information

NPI Number: 1053600262
Entity Type: Organization
Organization Name: Miller Dental
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 3307 MILLER AVE SUITE A
City: Fort Worth
State: Texas
ZIP Code: 76119
Phone: (818) 413-6000

Authorized Official

Name: DR. PHUONG KIM DO, DDS
Title: DENTIST
Phone: (817) 413-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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