| Miller Endodontic Advantage, Pllc | |
|
11601 Minnetonka Mills Rd Ste C10 Minnetonka MN 55305-5170 | |
| (952) 938-3033 | |
| Not Available |
| Full Name | Miller Endodontic Advantage, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11601 Minnetonka Mills Rd Ste C10, Minnetonka, Minnesota |
| Authorized Official Name and Position | Marcus Miller (OWNER DOCTOR) |
| Authorized Official Contact | 6514311045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Endodontic Advantage, Pllc 1515 Argonne Ln Alpharetta GA 30004-7884 Ph: (651) 431-1045 | Miller Endodontic Advantage, Pllc 11601 Minnetonka Mills Rd Ste C10 Minnetonka MN 55305-5170 Ph: (952) 938-3033 |
| NPI Number | 1659029270 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659029270 | NPI | - | NPPES |
| OPTIONAL | Other | OPTIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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