Individual
JOHN DAVID MILLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3470 PARKER BOULEVARD, PUEBLO, CO 81003
(719) 543-4022
Mailing address
3470 PARKER BOULEVARD, PUEBLO, CO 81003
(719) 543-4022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-9176
CO
Other
Enumeration date
07/13/2006
Last updated
06/30/2010
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