DR. Glenn A Miller, DDSMS

NPI #1922198118 in Belleville, Illinois

Provider Information

NPI Number
1922198118
Entity Type
Individual
Name
DR. Glenn A Miller, DDSMS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Oral & Maxillofacial Surgery
Credential
DDSMS
Enumeration Date
Oct 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
10200 WEST MAIN STREET
Address 2
SIGNAL HILL MEDICAL BUILDING
ZIP Code
62223-1495
Phone
(618) 397-2464

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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