Individual
MICHELLE JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
115 E HOBSONWAY, BLYTHE, CA 92225-9395
(760) 922-5320
Mailing address
PO BOX 411, BLYTHE, CA 92226-0411
(909) 744-4104
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
26810
CA
124Q00000X
Dental Hygienist
Primary
600
CA
Other
Enumeration date
04/13/2015
Last updated
03/17/2021
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