Individual
JAMES GRAY MILLWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 E. WOOD HILL RD., FREDONIA, AZ 86022
(928) 643-6215
(928) 643-6218
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529431
—
AZ
Enumeration date
08/12/2010
Last updated
08/01/2011
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