| NPI | 1811300643 |
|---|---|
| Former Name | MARILEE YOUNG-MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00203834) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30003) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-02-19 |