Individual
DR. JACQUELINE MARIE MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1015 WASHINGTON SQUARE SHOPPING CTR, STE G, WASHINGTON, MO 63090-5307
(636) 239-4004
(636) 239-6576
Mailing address
1015 WASHINGTON SQUARE SHOPPING CTR, STE G, WASHINGTON, MO 63090-5307
(636) 239-4004
(636) 239-6576
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
015380
MO
Other
Enumeration date
06/09/2005
Last updated
07/08/2007
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