Individual
KIEFER JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
290 COKATO ST E, COKATO, MN 55321-4585
(320) 299-2323
Mailing address
2665 FARRINGTON ST, ROSEVILLE, MN 55113-2404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15084
MN
Other
Enumeration date
04/16/2024
Last updated
06/05/2024
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