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Individual

TAYLOR JANEA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2430 S 179TH ST, OMAHA, NE 68130-2687
(402) 330-1131
Mailing address
3631 N 129TH ST, OMAHA, NE 68164-5211
(402) 493-8320

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6092
AL
122300000X
Dentist
7202
NE
122300000X
Dentist
DDS-09176
IA
1223P0221X
Pediatric Dentistry
Primary
D011164
AZ

Other

Enumeration date
06/23/2014
Last updated
09/04/2024
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