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Individual

ANNA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
110 N LOCUST ST, CARLISLE, KY 40311
(859) 289-5418
(859) 289-8153
Mailing address
11708 MAIN ST, MIDDLETOWN, KY 40243-1426
(502) 245-8627
(502) 245-9395

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7715
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60000718
KY
Enumeration date
08/23/2006
Last updated
07/08/2007
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