Individual
NICHOLAS G MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 263-7101
(208) 263-7198
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-7101
(208) 263-7198
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D-4486
ID
Other
Enumeration date
05/24/2012
Last updated
10/12/2016
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