Individual
MICHAEL LOUIS MILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 ROSS BLVD, DODGE CITY, KS 67801
(620) 225-3131
(620) 225-3175
Mailing address
200 ROSS BLVD, DODGE CITY, KS 67801
(620) 225-3131
(620) 225-3175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4484
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008872
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/11/2006
Last updated
07/08/2007
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