| Millard Dental Llc | |
|
2650 Washburn Way Ste 200 Klamath Falls OR 97603-4596 | |
| (541) 884-1333 | |
| (541) 882-2524 |
| Full Name | Millard Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2650 Washburn Way, Klamath Falls, Oregon |
| Authorized Official Name and Position | Robert Millard (OWNER) |
| Authorized Official Contact | 5418841333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millard Dental Llc 2650 Washburn Way Ste 200 Klamath Falls OR 97603-4596 Ph: (541) 884-1333 | Millard Dental Llc 2650 Washburn Way Ste 200 Klamath Falls OR 97603-4596 Ph: (541) 884-1333 |
| NPI Number | 1558754820 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558754820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9582 (Oregon) | Primary |
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