Individual
SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6677 W THUNDERBIRD RD STE J174, GLENDALE, AZ 85306-3703
(623) 939-5870
(623) 776-9503
Mailing address
6677 W THUNDERBIRD RD STE J174, GLENDALE, AZ 85306-3703
(623) 939-5870
(623) 776-9503
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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