Individual
DR. STACY E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.,M.S.
Contact information
Practice address
1 LAKEWAY CENTRE CT, SUITE A, LAKEWAY, TX 78734-2621
(512) 263-1661
(512) 263-8883
Mailing address
1 LAKEWAY CENTRE CT, SUITE A, LAKEWAY, TX 78734-2621
(512) 263-1661
(512) 263-8883
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17825
TX
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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