Individual
DR. NATHAN ALEXANDER MCMILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7631 145TH ST W, APPLE VALLEY, MN 55124-5530
(952) 432-8696
Mailing address
8412 173RD ST W, LAKEVILLE, MN 55044-6280
(952) 250-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14786
MN
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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