| NPI | 1871006908 |
|---|---|
| Doing Business As | MILLERVILLE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY TOLER Owner 469-788-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2023-03-07 |