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Individual

AVA MIGNON MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
Mailing address
30225 PLEASANT TRL, SOUTHFIELD, MI 48076-5349
(313) 407-3102

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014762
MI

Other

Enumeration date
04/09/2019
Last updated
04/09/2019
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