Individual
DR. JON MILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
5220 N EAGLE RD, BOISE, ID 83713-0945
(208) 323-4800
(208) 323-1299
Mailing address
5220 N EAGLE RD, BOISE, ID 83713-0945
(208) 323-4800
(208) 323-1299
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3856
ID
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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