Organization
JD MILLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID MILLER DDS (OWNER)
(503) 944-9374
Entity
Organization
Contact information
Practice address
2250 NW FLANDERS ST STE 112, PORTLAND, OR 97210-5409
(503) 944-9374
Mailing address
2250 NW FLANDERS ST STE 112, PORTLAND, OR 97210-5409
(503) 944-9374
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9312
OR
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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