Individual
DALE EDWARD MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
(509) 248-5807
(509) 248-5943
Mailing address
307 SOUTH 11TH AVE, YAKIMA, WA 98902-3256
(509) 248-5807
(509) 248-5943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5180807
—
WA
Enumeration date
10/16/2006
Last updated
07/08/2007
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