Dr. Stanley Kelly Miller, d.d.s.
Dentist, General Practice in Banning, CA. Individual provider (NPI-1).
NPI number1245501741
StatusActive
Last updated in NPPESJan 16, 2012
Details
- NPI
- 1245501741
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stanley Kelly Miller
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2012
- Last updated
- Jan 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 43640 | CA | Yes |
Practice location
6350 W Ramsey St#a
Banning, CA 92220-3062
Phone 951-769-0466 · Fax 951-769-3606
Mailing address
6350 W Ramsey St#a
Banning, CA 92220-3062
Phone 951-769-0466 · Fax 951-769-3606
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