Individual
KIMBERLY PORAPAIBOON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5826 DEMPSTER ST, MORTON GROVE, IL 60053-3046
(847) 470-0665
Mailing address
5826 DEMPSTER ST, MORTON GROVE, IL 60053-3046
(847) 470-0665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002778
IL
1223P0221X
Pediatric Dentistry
Primary
12010587A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200493230A
—
IN
Enumeration date
02/02/2007
Last updated
04/14/2026
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