Individual
DR. KELLY NOELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
9800 NE 120TH PL STE C, KIRKLAND, WA 98034-4220
(425) 823-4100
Mailing address
9800 NE 120TH PL STE C, KIRKLAND, WA 98034-4220
(425) 823-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029316
IL
122300000X
Dentist
57277
CA
1223P0700X
Prosthodontics
Primary
DE60468235
WA
Other
Enumeration date
06/21/2007
Last updated
01/07/2022
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