Individual
DR. JAMES TREVOR MILLWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 WEEMINUCHE, IGNACIO, CO 81137
(970) 563-4581
(970) 563-0206
Mailing address
216 HILLCREST DR, DURANGO, CO 81301-6518
(970) 247-2919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
252
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002525
—
CO
Enumeration date
07/27/2006
Last updated
07/08/2007
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