Dr. Jerome L. Millan, DMD
Dentist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1467650481
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1467650481
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerome L. Millan
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS021676L | PA | Yes |
Practice location
1517 Solly AvePhiladelphia, PA 19152-2252
Phone 215-742-2233
Mailing address
1517 Solly AvePhiladelphia, PA 19152-2252
Phone 215-742-2233
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