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1114006541
JAN S MILLER
PORT JEFFERSON, NY
NPI
1114006541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 038216)
Enumeration Date
2006-11-05
Last Update Date
2013-10-17
Business Address
Dr. JAN S MILLER
635 BELLE TERRE RD SUITE 103
PORT JEFFERSON, NY 11777-1935
Phone number: 631-743-9090
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Mailing Address
Dr. JAN S MILLER
635 BELLE TERRE RD SUITE 103
PORT JEFFERSON, NY 11777-1935
Phone number: 631-743-9090
Copy
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