Individual
MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3725 N LIGHTHOUSE HILL LN, FORT WORTH, TX 76179-3827
(817) 905-2055
Mailing address
3725 N LIGHTHOUSE HILL LN, FORT WORTH, TX 76179-3827
(817) 905-2055
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10040
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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