Individual
DR. KRISTIN ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3600 N ILLINOIS ST, SWANSEA, IL 62226-1928
(618) 234-3700
Mailing address
2267 HAVERFORD DR, SHILOH, IL 62221-7994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026420
IL
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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