Dr. Mark M Miller, DDS
Dentist, General Practice in Lake Charles, LA. Individual provider (NPI-1).
NPI number1790799294
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790799294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark M Miller
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3313 | LA | Yes |
Practice location
1516 18th StLake Charles, LA 70601
Phone 337-478-9994
Mailing address
1516 18th StLake Charles, LA 70601
Phone 337-478-9994
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All 60 General Practice Dentistry providers in Lake Charles · All 3,953 providers in Lake Charles
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