Individual
DR. NINA LELIC MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042200
PA
Other
Enumeration date
07/08/2019
Last updated
04/01/2021
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