Individual
LAURA ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6020 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46203-5611
(317) 359-8000
Mailing address
6020 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46203-5611
(317) 359-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013583A
IN
1223G0001X
General Practice Dentistry
30.026090
OH
1223G0001X
General Practice Dentistry
31.1694200
OH
Other
Enumeration date
04/04/2019
Last updated
08/02/2021
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