Individual
ROSS JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 N BEAVER ST, FLAGSTAFF, AZ 86001-3142
(505) 592-0482
Mailing address
4760 N BUTLER AVE STE B, FARMINGTON, NM 87401-0816
(505) 592-0482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS36681
CA
Other
Enumeration date
05/27/2021
Last updated
06/17/2021
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