Charles Brigham Miller

NPI #1790212785 in Riverton, Utah

Provider Information

NPI Number: 1790212785
Entity Type: Individual
Name: Charles Brigham Miller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: May 22, 2017
Last Updated: Jan 9, 2024

Practice Location

Address: 12523 S PASTURE RD STE 150
City: Riverton
State: Utah
ZIP Code: 84096-4841
Phone: (801) 900-4686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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