| Miller Dds Of Haymarket, Pc | |
|
6735 Lea Berry Way Haymarket VA 20169-2991 | |
| (703) 753-7077 | |
| (703) 753-6973 |
| Full Name | Miller Dds Of Haymarket, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6735 Lea Berry Way, Haymarket, Virginia |
| Authorized Official Name and Position | Glen Ray Miller (PRESIDENT) |
| Authorized Official Contact | 7037537077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Dds Of Haymarket, Pc 6735 Lea Berry Way Haymarket VA 20169-2991 Ph: (703) 753-7077 | Miller Dds Of Haymarket, Pc 6735 Lea Berry Way Haymarket VA 20169-2991 Ph: (703) 753-7077 |
| NPI Number | 1306096607 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306096607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008691 (Virginia) | Primary |
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