Individual
LATASHA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4402
(262) 223-0280
Mailing address
7111 97TH AVE, KENOSHA, WI 53142-8376
(262) 496-7810
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020012322
IL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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