Individual
DR. MARY LABORDE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2425 33RD AVE W, SEATTLE, WA 98199-3255
(206) 283-7844
Mailing address
303 SHELL BEACH DR, LAKE CHARLES, LA 70601-5825
(337) 377-6020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60949816
WA
1223G0001X
General Practice Dentistry
6856
LA
Other
Enumeration date
05/18/2018
Last updated
07/23/2019
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