Individual
DR. JENNIFER ROSE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1302 MARSHALL ST, ST. PETER, MN 56082
(507) 934-3332
(507) 934-3336
Mailing address
1302 MARSHALL ST, ST. PETER, MN 56082
(507) 934-3332
(507) 934-3336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886473000
—
MN
01
—
D11490
DENTAL LICENSE #
MN
Enumeration date
05/13/2006
Last updated
04/29/2015
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