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NPI Code Detail

MEDICARE: DR. LAURA A MILLER DDS

MEDICARE: DR. LAURA A MILLER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7660CT

General Provider Information

NPI Number : 1972506780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA A MILLER DDS
Provider Business Mailing Address
First Line : 141 DURHAM RD
Second Line : STE 20
City : MADISON
State : CT
Zip : 06443-2657
Country : US
Telephone Number : 203-245-9607
Fax Number : 203-245-1217
Provider Business Practice Location Address
First Line : 141 DURHAM RD
Second Line : STE 20
City : MADISON
State : CT
Zip : 06443-2657
Country : US
Telephone Number : 203-245-9607
Fax Number : 203-245-1217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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1174330211 — OWEN MARICA
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Directions to “ DR. LAURA A MILLER DDS” Practice Location

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