Individual
SHAWN CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 MERHAR AVE STE 5, FAIRBANKS, AK 99701-3166
(907) 328-0868
Mailing address
410 MERHAR AVE STE 5, FAIRBANKS, AK 99701-3166
(907) 328-0868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1434
AK
122300000X
Dentist
28115
TX
Other
Enumeration date
08/21/2012
Last updated
06/21/2019
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