| Dale E Miller DDS PS | |
|
307 South 11th Ave Yakima WA 98902-3256 | |
| (509) 248-5807 | |
| (509) 248-5943 |
| Full Name | Dale E Miller DDS PS |
|---|---|
| Speciality | Dentist |
| Location | 307 South 11th Ave, Yakima, Washington |
| Authorized Official Name and Position | Dale Edward Miller (PRESIDENT) |
| Authorized Official Contact | 5092485807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale E Miller DDS PS 307 South 11th Ave Yakima WA 98902-3256 Ph: (509) 248-5807 | Dale E Miller DDS PS 307 South 11th Ave Yakima WA 98902-3256 Ph: (509) 248-5807 |
| NPI Number | 1245310176 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245310176 | NPI | - | NPPES |
| 5042056 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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