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Organization
GAVIN J. MILLER, DDS, INC.
Active
Organization
GAVIN J. MILLER, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN JACOB MILLER D.D.S. (PRESIDENT)
(858) 546-7667
Entity
Organization
Contact information
Practice address
4130 LA JOLLA VILLAGE DR STE 205, LA JOLLA, CA 92037-1480
(858) 546-7667
(858) 546-7693
Mailing address
4130 LA JOLLA VILLAGE DR STE 205, LA JOLLA, CA 92037-1480
(858) 546-7667
(858) 546-7693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42367
CA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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