Individual
LEVI SCOTT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1708 S CLOVER DR, MOSES LAKE, WA 98837
(509) 764-0307
(509) 764-0886
Mailing address
416 E LINDEN AVE, MOSES LAKE, WA 98837-5309
(509) 431-8357
(509) 764-0886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60028802
WA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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