Organization · Type 2 NPI
Miller Dental PLLC
Dental Clinic/Center · Fort Worth, TX
NPI number
1730699802
Active
Practice location
3307 Miller Ave Suite #A
Fort Worth, TX 76119
Fax (817) 413-6000
Mailing address
3307 Miller Ave Ste A
Fort Worth, TX 76119-1971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 22079 (TX) |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1730699802
Miller Dental PLLC's National Provider Identifier is 1730699802, issued on Oct 3, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 14, 2024.