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DR. DONALD T. MILLER D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1538273198

Individual Registrant:
DR. DONALD T. MILLER D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
619 E MAIN ST  GENOA, IL 60135-1309 US
Tel: 815-784-5166  Fax: 815-784-5167

Contact information for business:
619 E MAIN ST  GENOA, IL 60135-1309 US
Tel: 815-784-5166  Fax: 815-784-5167

Registration Information:
NPI: 1538273198
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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