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NPI Code Detail

MEDICARE: CHRISTIANE MILLER RDH

MEDICARE: CHRISTIANE MILLER RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH4743NM

General Provider Information

NPI Number : 1194244996
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIANE MILLER RDH
Provider Business Mailing Address
First Line : 2600 AMERICAN RD SE STE 230
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-1858
Country : US
Telephone Number : 505-922-6000
Fax Number : 505-922-6363
Provider Business Practice Location Address
First Line : 2600 AMERICAN RD SE STE 230
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-1858
Country : US
Telephone Number : 505-922-6000
Fax Number : 505-922-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 09/12/2017

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Directions to “ CHRISTIANE MILLER RDH” Practice Location

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