Individual
RONALD K. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
843 REED ST, AMERICAN FALLS, ID 83211-1336
(208) 226-2976
(208) 226-1068
Mailing address
843 REED ST, P.O. BOX 189, AMERICAN FALLS, ID 83211-1336
(208) 226-2976
(208) 226-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1287
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001108400
—
ID
Enumeration date
11/16/2006
Last updated
04/24/2013
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