Individual
LISA RENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 WILLIAM ST, BUFFALO, NY 14206-1649
(716) 858-2198
(716) 858-2804
Mailing address
608 WILLIAM ST, BUFFALO, NY 14206-1649
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023222-1
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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