Jack Randolph Miller, DMD

NPI #1073770764 in Bend, Oregon

Provider Information

NPI Number: 1073770764
Entity Type: Individual
Name: Jack Randolph Miller, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 20, 2008
Last Updated: Sep 2, 2008

Practice Location

Address: 2078 NE PROFESSIONAL CT
City: Bend
State: Oregon
ZIP Code: 97701-6077
Phone: (541) 382-2281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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