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NPI Code Detail

MEDICARE: ELIZABETH MILLER DDS

MEDICARE: ELIZABETH 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
11223P0221XPediatric Dentistry0401412672VA

General Provider Information

NPI Number : 1588837165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MILLER DDS
Provider Business Mailing Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number : 804-741-6751
Provider Business Practice Location Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number : 804-741-6751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 12/09/2010

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Directions to “ ELIZABETH MILLER DDS” Practice Location

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