Provider Demographics
NPI:1033698204
Name:LI-MILLER, ANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANG
Middle Name:
Last Name:LI-MILLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ANG
Other - Middle Name:
Other - Last Name:LI-MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANG LI
Mailing Address - Street 1:2126 BEAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7604
Mailing Address - Country:US
Mailing Address - Phone:518-258-2485
Mailing Address - Fax:
Practice Address - Street 1:125 WAGNER RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2457
Practice Address - Country:US
Practice Address - Phone:724-431-6421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist