Individual
MRS. MAXINE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
71 MALER LN, PATCHOGUE, NY 11772-3558
(631) 525-3811
Mailing address
71 MALER LN, PATCHOGUE, NY 11772-3558
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027441
NY
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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