Organization
SAN JUAN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD O. MILLER DDS (DENTIST)
(435) 587-2528
Entity
Organization
Contact information
Practice address
217 S. 100 W., MONTICELLO, UT 84535
(435) 587-2528
(435) 587-3585
Mailing address
PO BOX 760, MONTICELLO, UT 84535-0760
(435) 587-2528
(435) 587-3585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
139310
UT
1223G0001X
General Practice Dentistry
Primary
360185
UT
Other
Enumeration date
05/14/2007
Last updated
01/22/2009
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