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MICHELLE JEAN MILLER RDHAP

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1154717577

Individual Registrant:
 MICHELLE JEAN MILLER RDHAP
Gender: F
Sole Proprietor

Location and contact information for practice:
1001 PETER AVE  BIG BEAR CITY, CA 92314-9395 US
Tel: 909-744-4104  Fax: --

Contact information for business:
1001 PETER AVE  BIG BEAR CITY, CA 92314-9395 US
Tel: 909-744-4104  Fax: --

Registration Information:
NPI: 1154717577
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CA600
N124Q00000XDental Providers
Dental Hygienist
CA26810

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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