Individual
MRS. VINESSA JAYNE MILLS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LT, R.D.H., B.S.
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1172
Mailing address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1172
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2764
OK
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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