Individual
DR. LAUREN ANN MIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
W213N16755 GLEN BROOKE DR, JACKSON, WI 53037-9489
(262) 677-4990
Mailing address
2225 E IVANHOE PL, MILWAUKEE, WI 53202-1205
(734) 748-5509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7120-15
WI
Other
Enumeration date
05/01/2013
Last updated
06/18/2013
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