Charles Brigham Miller
Charles Brigham Miller is an Oral and Maxillofacial Surgery (Dentist) in Riverton, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2017
Practice location Address checks out
12523 S Pasture Rd Ste 150Riverton, UT 84096-4841
Phone: (801) 900-4686
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 95100829924 (UT) |
|---|
Record details
| NPI number | 1790212785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2017 |
| Last updated in NPPES | January 9, 2024 |
| Certification date | January 9, 2024 |
| Mailing address | 12523 S Pasture Rd Ste 150, Riverton, UT 84096-4841 |