Individual
MANDY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
527 GOTT RD, ENID, OK 73705-5103
(314) 479-2197
Mailing address
527 GOTT RD, ENID, OK 73705-5103
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10413093-9921
UT
Other
Enumeration date
08/30/2010
Last updated
06/30/2025
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