Individual
DR. TOM TERRY MILLIKEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 ADVOCATE ROW, VIDALIA, LA 71373
(318) 757-3648
(318) 757-9370
Mailing address
202 ADVOCATE ROW, VIDALIA, LA 71373
(318) 757-3648
(318) 757-9370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5976
LA
Other
Enumeration date
06/04/2009
Last updated
03/22/2023
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