Individual
MS. JENNIFER J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG 600 MCCAIN BLVD, BRANCH DENTAL CLINIC NORTH ISLAND, SAN DIEGO, CA 92135
(619) 545-6397
Mailing address
7407 ALVARADO RD # 89, LA MESA, CA 91942-8904
(757) 897-6860
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
0402203674
VA
124Q00000X
Dental Hygienist
Primary
10908106
WI
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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