Individual
ELLA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 DIEGO DR, COLUMBIA, MO 65203-4919
(573) 446-0880
Mailing address
809 ENGLE DR, COLUMBIA, MO 65203-5101
(573) 694-9553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021021317
MO
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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