Othello Howard Miller DDS

NPI 1154404853 - Dentist - 122300000X

NPI Details
NPI 1154404853
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1123 SO UNIVERISTY AVE
SUITE 714
LITTLE ROCK AR, 72204, US
Phone (501) 663-5945
Fax (501) 975-6261
Business Location
PO BOX 193634
LITTLE ROCK AR, 72219-3634, US
Phone (501) 663-5945
Fax (501) 975-6261
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 1986
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According to our database, Othello Howard Miller DDS NPI is 1154404853, taxonomy code is 122300000X and license number is 1986, license state is located at Arkansas. Othello Howard Miller DDS physically located at 1123 So Univeristy Ave, Little Rock AR, 72204. NPI Number Othello Howard Miller DDS has the Individual type.

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1154404853 NPI number is provided on an as is basis without warranty of any kind. 1154404853 is maintained by the National Plan & Provider Enumeration System. The contents of Othello Howard Miller DDS are for informational purposes only.