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1790799294
MARK M MILLER
LAKE CHARLES, LA
NPI
1790799294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3313)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. MARK M MILLER DDS
1516 18TH ST
LAKE CHARLES, LA 70601
Phone number: 337-478-9994
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Mailing Address
Dr. MARK M MILLER DDS
1516 18TH ST
LAKE CHARLES, LA 70601
Phone number: 337-478-9994
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