Individual
DR. CONNIE A MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
675 S 11TH ST, MARION, IA 52302-4962
(319) 377-9877
(319) 377-4558
Mailing address
675 S 11TH ST, MARION, IA 52302-4962
(319) 377-9877
(319) 377-4558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7301
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048744
—
IA
01
—
26103
WELLMARK BLUEDENTAL
IA
01
—
606496
UNITED CONCORDICE
IA
Enumeration date
03/28/2007
Last updated
07/08/2007
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