NPI | 1992713846 |
---|---|
Former Name | RHONDA BETH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.022264) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019022264) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2010-01-22 |