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Organization
TOM T. MILLIKEN, DDS LLC
Active
Organization
TOM T. MILLIKEN, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM T MILLIKEN DDS (OWNER)
(318) 757-3648
Entity
Organization
Contact information
Practice address
1810 EE WALLACE BLVD N STE 2, FERRIDAY, LA 71334-2253
(318) 757-9370
Mailing address
1810 EE WALLACE BLVD N STE 2, FERRIDAY, LA 71334-2253
(318) 757-9370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5976
LA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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