Individual
KATELYNN NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
674 BOULEVARD DE FRANCE, PARRIS ISLAND, SC 29905
(610) 334-7797
Mailing address
283 BLVD DE FRANCE, BEAUFORT, SC 29905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042332
PA
1223G0001X
General Practice Dentistry
DGD.10195
SC
Other
Enumeration date
07/15/2019
Last updated
12/29/2022
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