Individual
ANGELA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3800 N PULASKI RD, CHICAGO, IL 60641-3139
(773) 663-3800
Mailing address
1445 W BELDEN AVE, 1 B, CHICAGO, IL 60614-3070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005530
—
IL
Enumeration date
01/19/2007
Last updated
07/08/2007
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