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DUANE MATTHEW MILLER DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1538233317

Individual Registrant:
 DUANE MATTHEW MILLER DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1100 CENTRAL AVE  NEBRASKA CITY, NE 68410 US
Tel: 402-873-5048  Fax: 402-873-5048

Contact information for business:
1100 CENTRAL AVE  NEBRASKA CITY, NE 68410 US
Tel: 402-873-5048  Fax: 402-873-5048

Registration Information:
NPI: 1538233317
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
NE6211

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BC BS04578NE01
80001194300NE05
1521682IA05




HEALTH CARE JOBS NE - Page 1



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