Individual
KELSEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1313 BROADWAY, DENISON, IA 51442-1923
(712) 263-2111
Mailing address
422 SHAWMUTT AVE, MISSOURI VALLEY, IA 51555-1302
(402) 253-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09805
IA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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