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General NPI Number Information
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NPI Number | 1699432369
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Entity Type | Organization
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Legal Business Name | KRISTEN MILLER, D.D.S, P.L.L.C.
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 17711 FORT ST
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City | RIVERVIEW
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State | MI
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Zip | 48193-6632
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Country | US
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Telephone | 734-283-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 17711 FORT ST
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City | RIVERVIEW
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State | MI
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Zip | 48193-6632
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Country | US
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Telephone | 734-283-2818
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. KRISTEN MILLER LAUZON
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Credential | DDS
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Telephone | 313-522-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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