Clyde Edward Miller, DDS
Dentist, General Practice in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1003027830
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003027830
- Entity type
- Individual (NPI-1)
- Name
- Clyde Edward Miller
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D5415 | AZ | Yes |
Practice location
9377 E Bell Rd Ste 301Scottsdale, AZ 85260-1505
Phone 480-513-2620 · Fax 480-513-9308
Mailing address
9598 E Southwind LnScottsdale, AZ 85262-3656
Phone 480-473-0226
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