Individual
ALEXIS VICTORIA MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
Mailing address
3124 ROLSTON RD, GREENVILLE, NC 27858-6255
(252) 412-0116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13783
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2023
Last updated
09/02/2025
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