# DALE E MILLER DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245310176
- **Authorized official:** DALE EDWARD MILLER JR. DDS (PRESIDENT)
- **Authorized official phone:** (509) 248-5807

## Contact information

- **Practice address:** 307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
- **Practice address phone:** (509) 248-5807
- **Practice address fax:** (509) 248-5943
- **Mailing address:** 307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
- **Mailing address phone:** (509) 248-5807
- **Mailing address fax:** (509) 248-5943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5042056 | — | WA |
