| Miller Dental | |
|
3307 Miller Ave Suite A Fort Worth TX 76119 | |
| (818) 413-6000 | |
| Not Available |
| Full Name | Miller Dental |
|---|---|
| Speciality | Dentist |
| Location | 3307 Miller Ave Suite A, Fort Worth, Texas |
| Authorized Official Name and Position | Phuong Kim Do (DENTIST) |
| Authorized Official Contact | 8174136000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Dental 3610 S.cooper St. 112 Arlington TX 76015 Ph: (817) 466-1500 | Miller Dental 3307 Miller Ave Suite A Fort Worth TX 76119 Ph: (818) 413-6000 |
| NPI Number | 1053600262 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053600262 | NPI | - | NPPES |
| 1417171281 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22079 (Texas) | Primary |
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