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1922198118
GLENN A MILLER
BELLEVILLE, IL
NPI
1922198118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: IL 19A13884)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. GLENN A MILLER DDSMS
10200 WEST MAIN STREET SIGNAL HILL MEDICAL BUILDING
BELLEVILLE, IL 62223-1495
Phone number: 618-397-2464
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Mailing Address
Dr. GLENN A MILLER DDSMS
10200 WEST MAIN STREET SIGNAL HILL MEDICAL BUILDING
BELLEVILLE, IL 62223-1495
Phone number: 618-397-2464
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