Individual
GARRY DEAN MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 W 14TH, BUILDING C, RIFLE, CO 81650-4700
(970) 945-2840
(970) 945-2893
Mailing address
1905 BLAKE AVE, SUITE 101, GLENWOOD SPRINGS, CO 81601-4288
(970) 945-2840
(970) 945-2893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00010351
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57402086
—
CO
Enumeration date
07/14/2010
Last updated
12/31/2015
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