Individual
MRS. TONIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WOODFERN LN, HAUGHTON, LA 71037-9225
(318) 464-2921
Mailing address
14 WOODFERN LN, HAUGHTON, LA 71037-9225
(318) 464-2921
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
541
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541
STATE BOARD LA DENTISTRY
LA
Enumeration date
03/06/2017
Last updated
03/06/2017
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