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Individual

KATHERINE M. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
995 BEAVER GRADE RD, SUITE A2, CORAOPOLIS, PA 15108-2766
(724) 622-3699
(412) 262-3966
Mailing address
995 BEAVER GRADE RD, SUITE A2, CORAOPOLIS, PA 15108-2766
(724) 622-3699
(412) 262-3966

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038022
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024057260002
PA
Enumeration date
09/29/2009
Last updated
07/17/2012
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