Individual
AMANDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
5924 REVERE RD, CLINTON, IL 61727-2914
(217) 935-3427
Mailing address
PO BOX 518, CLINTON, IL 61727-0518
(217) 935-3427
(217) 935-9820
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020010006
IL
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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