NPI | 1881748390 |
---|---|
Other Name | C BRADLEY MILLER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 37680) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 015407) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-07-10 |