Organization
JADE MILLER DDS GILBERT A TRUJILLO DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADE ANDREW MILLER DDS (OWNER DENTIST)
(775) 824-2323
Entity
Organization
Contact information
Practice address
517 HAMMILL LANE, RENO, NV 89511
(775) 824-2323
(775) 824-2324
Mailing address
517 HAMMILL LANE, RENO, NV 89511
(775) 824-2323
(775) 824-2324
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2216801
—
NV
05
—
2216819
—
NV
Enumeration date
12/14/2006
Last updated
08/22/2020
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