Individual
LINDA MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BASDH
Contact information
Practice address
15621 DYNA ST, CORPUS CHRISTI, TX 78418-6429
(361) 446-8780
Mailing address
15621 DYNA ST, CORPUS CHRISTI, TX 78418-6429
(361) 446-8780
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
17973
NY
124Q00000X
Dental Hygienist
Primary
18069
TX
124Q00000X
Dental Hygienist
18294
FL
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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