Individual
DR. HEATHER L LUCKS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 10 SUITE 38, STONY BROOK, NY 11790-2555
(631) 751-2636
Mailing address
PO BOX 785, STONY BROOK, NY 11790-0785
(631) 751-2636
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
046628-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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