Millard, Dolores Jean

Millard, Dolores Jean is an sole proprietor health care provider with primary practice located at 155B Capitol Square Drive , Zia Pueblo NM 87053-6013. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Millard, Dolores Jean can be contacted via phone (505) 867-5258.

Contact Information

Primary practice address
155B Capitol Square Drive Zia Pueblo NM 87053-6013
Phone: (505) 867-5258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 808 New Mexico

Profile Details

NPI number 1174848543
LBN Legal business name Millard, Dolores Jean
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2010
Last updated Mar 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174848543 NPPES
New Mexico MEDICAID 11115

Popular Providers