Organization
JACK W MILLER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK W MILLER DDS (DENTIST)
(316) 838-1300
Entity
Organization
Contact information
Practice address
2203 SWEETBRIAR ST, WICHITA, KS 67204-5518
(316) 838-1300
(316) 838-1355
Mailing address
2203 SWEETBRIAR ST, WICHITA, KS 67204-5518
(316) 838-1300
(316) 838-1355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5448
KS
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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