Individual
MARIANNE D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 TILDEN AVE, BOX 1000, NEW HARTFORD, NY 13413-3613
(315) 797-3114
(315) 624-0474
Mailing address
2050 TILDEN AVE, BOX 1000, NEW HARTFORD, NY 13413-3613
(315) 797-3114
(315) 624-0474
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474180
—
NY
05
—
334526
—
NY
05
—
335475
—
NY
Enumeration date
12/10/2008
Last updated
06/22/2012
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