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1285843060
HEATHER L LUCKS MILLER
STONY BROOK, NY
NPI
1285843060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NY 046628-1)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. HEATHER L LUCKS MILLER DDS
2500 NESCONSET HWY BUILDING 10 SUITE 38
STONY BROOK, NY 11790-2555
Phone number: 631-751-2636
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Mailing Address
Dr. HEATHER L LUCKS MILLER DDS
PO BOX 785
STONY BROOK, NY 11790-0785
Phone number: 631-751-2636
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