Individual
JILL MARIE MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 S PARK AVE, LE CENTER, MN 56057-1621
(507) 357-4982
Mailing address
525 N STATE AVE, LE CENTER, MN 56057-1760
(507) 581-6436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13839
MN
Other
Enumeration date
05/25/2017
Last updated
12/29/2023
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