Individual
RYAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
204735
CO
Other
Enumeration date
06/04/2021
Last updated
07/11/2024
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