Organization
MILLARD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MILLARD DDS (OWNER)
(541) 884-1333
Entity
Organization
Contact information
Practice address
2650 WASHBURN WAY, STE 200, KLAMATH FALLS, OR 97603-4596
(541) 884-1333
(541) 882-2524
Mailing address
2650 WASHBURN WAY, STE 200, KLAMATH FALLS, OR 97603-4596
(541) 884-1333
(541) 882-2524
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9582
OR
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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