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 |