Individual
JACQUELINE A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
7150 N 7TH ST, PHOENIX, AZ 85020-5300
(602) 230-0811
Mailing address
5810 E LUDLOW DR, SCOTTSDALE, AZ 85254-3133
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H 4795
AZ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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