| NPI | 1164672002 |
|---|---|
| Former Name | AMANDA RACHELLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 9757) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN-9757) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-03-17 |