Individual
DR. JACK W. MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2203 SWEETBRIAR ST, WICHITA, KS 67204-5518
(316) 838-1300
Mailing address
2203 SWEETBRIAR ST, WICHITA, KS 67204-5518
(316) 838-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5448
KS
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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