Yes, milled. You can see the start/end marks where there's bumps in the outline. These are typically within 0.1mm or so, far from a precision fit but largely good enough for something that snaps into a plastic enclosure or whatever.
The default process is a 2mm, probably two flute?, carbide end mill.
Particularly if you're going for a custom fab run, you can ask for more precision, which will involve cutting fewer boards per stack, slower feedrate, sharper tooling, less speed-optimal tool route, etc. In extreme cases, you might send the parts (or have them subcontract, if they can't do it themselves?) to a machine shop, to do metrology, fixturing and cutting; but below, oh I don't know, maybe 0.02mm, 0.01mm tolerance on a part that size, it's not really going to matter much due to variances in the material itself (expansion vs. humidity and temperature, anisotropy due to the weave, etc.). So, somewhere between those tolerance margins, is where you can expect some range of, asking for tighter tolerances --> paying more to meet them.
Tim