Individual
DR. MARILEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5430 TUTT BLVD, COLORADO SPRINGS, CO 80922-2515
(210) 854-4614
Mailing address
9 OLD CRYSTAL PARK RD, MANITOU SPRINGS, CO 80829-2542
(210) 854-4614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203834
CO
1223G0001X
General Practice Dentistry
30003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811300643
NPI
TX
Enumeration date
06/10/2014
Last updated
02/19/2019
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