Individual
DR. JASON LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10621 N 35TH AVE, PHOENIX, AZ 85029-4260
(208) 251-5309
Mailing address
8357 SALMONBERRY, HAYDEN, ID 83835-5078
(208) 251-5309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9651
AZ
122300000X
Dentist
9684
TN
Other
Enumeration date
06/23/2013
Last updated
02/08/2017
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