Organization
SUSAN S. MILLER, DDS. PLLC
Active
Other names
Maple Leaf Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S MILLER DDS (OWNER)
(206) 402-3402
Entity
Organization
Contact information
Practice address
7750 15TH AVE NE, SUITE A, SEATTLE, WA 98115-4313
(206) 402-3402
(206) 402-3460
Mailing address
7750 15TH AVE NE, SUITE A, SEATTLE, WA 98115-4313
(206) 402-3402
(206) 402-3460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00003086
WA
122300000X
Dentist
Primary
DE00006218
WA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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