Individual
ANNE MILLER KACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6100 MEMORIAL DR, DUBLIN, OH 43017-8244
(614) 404-8857
Mailing address
8172 MOUNT AIR PL, COLUMBUS, OH 43235-1371
(614) 477-1188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026826
OH
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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