Individual
MR. RICHARD PALMER MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100-B NE 7TH ST, GRANTS PASS, OR 97526
(541) 476-4667
(541) 476-3669
Mailing address
1100-B NE 7TH ST, GRANTS PASS, OR 97526
(541) 476-4667
(541) 476-3669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6459
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085779
—
OR
Enumeration date
07/29/2005
Last updated
07/08/2007
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