Organization
MILLER ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MILLER (PRESIDENT)
(307) 733-4021
Entity
Organization
Contact information
Practice address
200 EAST BROADWAY, JACKSON, WY 83001-3996
(307) 733-4021
Mailing address
PO BOX 3996, 200 EAST BROADWAY, JACKSON, WY 83001-3996
(307) 733-4021
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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