Jennifer J Miller, RDH
Dental Hygienist in San Diego, CA. Individual provider (NPI-1).
NPI number1114366226
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1114366226
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer J Miller
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2013
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 10908106 | WI | Yes |
| 124Q00000X | Dental Hygienist | 0402203674 | VA |
Other names
- Jennifer J Haskins (Former Name)
Practice location
Bldg 600 McCain BlvdBranch Dental Clinic North Island
San Diego, CA 92135
Phone 619-545-6397
Mailing address
7407 Alvarado Rd # 89La Mesa, CA 91942-8904
Phone 757-897-6860
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