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Laura Millan
General Practice Dentistry in Port St Lucie, Florida
NPI 1265905228

Laura Millan is a General Practice Dentistry based in Brooklyn, FL and is specialized in General Practice. Laura Millan practices in Port St Lucie, FL. The NPI Number for Laura Millan is 1265905228 and holds a License No. (Florida).

The current practice location address for Laura Millan is 1679 Nw Saint Lucie West Blvd, Port St Lucie, FL and can be reached out via phone at 772-224-3090.

Location: 1679 Nw Saint Lucie West Blvd, Port St Lucie, FL, 11206-5317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265905228
Provider Name
Laura Millan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1679 Nw Saint Lucie West Blvd, Port St Lucie, FL, 11206-5317
Phone Number
772-224-3090
Fax Number
Provider Enumeration Date
01/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1679 Nw Saint Lucie West Blvd
City
Port St Lucie
State
Florida
Zip
34986-2106
Phone Number
772-224-3090
Fax Number
person
Provider Business Mailing Address Details
Address
1679 Nw Saint Lucie West Blvd
City
Port St Lucie
State
Florida
Zip
34986-2106
Phone Number
772-224-3090
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
24775 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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