Individual
LATECIA MUSE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1830 PROSPECTOR AVE, PARK CITY, UT 84060-7319
(801) 231-1295
Mailing address
1830 PROSPECTOR AVE, PARK CITY, UT 84060-7319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10413409-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
09/12/2024
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