Individual
DR. HEATHER MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2805 CENTRAL ST, EVANSTON, IL 60201-1221
(847) 328-8500
Mailing address
2805 CENTRAL ST, EVANSTON, IL 60201-1221
(847) 328-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032527
IL
122300000X
Dentist
12012695A
IN
1223G0001X
General Practice Dentistry
12022695A
IN
Other
Enumeration date
06/01/2017
Last updated
07/21/2021
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