Dr. Millgard

NPI #1255666467 in Dayton, Washington

Provider Information

NPI Number: 1255666467
Entity Type: Organization
Organization Name: Dr. Millgard
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 5, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 270 E MAIN ST
City: Dayton
State: Washington
ZIP Code: 99328-1353
Phone: (509) 526-9742

Authorized Official

Name: DR. THEODORE ROGER MILLGARD, D.D.S.
Title: DENTIST
Phone: (509) 526-9742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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