Marissa L. Miller, Dds, INC

NPI #1649599937 in Shelby, Ohio

Provider Information

NPI Number: 1649599937
Entity Type: Organization
Organization Name: Marissa L. Miller, Dds, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 100 W MAIN ST
City: Shelby
State: Ohio
ZIP Code: 44875-1476
Phone: (417) 342-4217

Authorized Official

Name: MS. MARISSA L MILLER, DDS
Title: PRESIDENT
Phone: (419) 342-4217

Specialties & Taxonomy Codes

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

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