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1891782892
GLEN R MILLER
FAIRFAX, VA
NPI
1891782892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401008691)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
Dr. GLEN R MILLER DDS
10509 BRADDOCK RD
FAIRFAX, VA 22032-2239
Phone number: 703-503-1700
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Mailing Address
Dr. GLEN R MILLER DDS
5249 DUKE ST
ALEXANDRIA, VA 22304-2919
Phone number: 703-212-7500
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