Organization
TRI-COUNTY ORTHODONTICS, ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE M. MILLER DDS, MS (ORTHODONTIST)
(636) 239-4004
Entity
Organization
Contact information
Practice address
1015 WASHINGTON SQUARE SHOPPING CTR STE G, WASHINGTON, MO 63090-5307
(636) 239-4004
(636) 239-6576
Mailing address
1015-G WASHINGTON SQUARE SHOPPING CENTER, WASHINGTON, MO 63090
(636) 239-4004
(636) 239-6576
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE015380
MO
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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