Individual
DR. JAY CLINTON MILLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1055 17TH AVE, SUITE 203, LONGMONT, CO 80501-2647
(303) 776-2020
(303) 776-2091
Mailing address
1055 17TH AVE, SUITE 203, LONGMONT, CO 80501-2647
(303) 776-2020
(303) 776-2091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CO HD1-00089
CO
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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