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1992963805
MARK A. MILLER, D.D.S., PLC
JACKSON, TN
NPI
1992963805
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Entity Type
Organization
Authorized Contact
MARK A. MILLER
Owner
731-668-9898
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
MARK A. MILLER, D.D.S., PLC
111 MURRAY GUARD DR SUITE A
JACKSON, TN 38305-3772
Phone number: 731-668-9898
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Mailing Address
MARK A. MILLER, D.D.S., PLC
111 MURRAY GUARD DR SUITE A
JACKSON, TN 38305-3772
Phone number: 731-668-9898
Copy
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