Mark A. Miller, DMD

NPI #1518966423 in Carlton, Oregon

Provider Information

NPI Number
1518966423
Entity Type
Individual
Name
Mark A. Miller, DMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 21, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
133 E MAIN
State
Oregon
ZIP Code
97111
Phone
(503) 852-7147

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
Carlton Dental, LLC

Part of Northwest Dental Group, LLC

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