Individual
DR. ROARKE JAKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
270 S TEN MILE RD STE 100, MERIDIAN, ID 83642-6100
(208) 906-6977
Mailing address
2811 12TH AVE RD, NAMPA, ID 83686-8482
(208) 466-2322
(208) 465-6303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3948
ID
Other
Enumeration date
05/12/2006
Last updated
03/12/2024
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