Organization
DALE E MILLER DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE EDWARD MILLER JR. DDS (PRESIDENT)
(509) 248-5807
Entity
Organization
Contact information
Practice address
307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
(509) 248-5807
(509) 248-5943
Mailing address
307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
(509) 248-5807
(509) 248-5943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5042056
—
WA
Enumeration date
10/16/2006
Last updated
08/22/2020
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