Organization
SLEEP RIGHT IDAHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROARKE JAKE MILLER DMD (OWNER, MANAGING MEMBER)
(208) 906-6977
Entity
Organization
Contact information
Practice address
2811 12TH AVE RD, NAMPA, ID 83686-8482
(208) 466-2458
(208) 466-2458
Mailing address
12295 LANDAU WAY, NAMPA, ID 83686-8063
(208) 906-6977
(208) 465-6303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3742
ID
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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