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Individual

MS. PATRICIA ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
300 SOUTHWEST CENTRAL AVE, AMITE, LA 70422-3019
(985) 748-9588
(985) 748-9588
Mailing address
300 SOUTHWEST CENTRAL AVE, AMITE, LA 70422-3019
(985) 748-9588
(985) 748-9588

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA3180
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831808
LA
01
F1451
BLUE CROSS PROV NUMBER
Enumeration date
04/25/2007
Last updated
07/08/2007
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