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Organization
RODERICK E MCMILLEN DDS A DENTAL CORP
Active
Organization
RODERICK E MCMILLEN DDS A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK E MCMILLEN DDS (PRESIDENT OF SMALL CORP)
(707) 964-0242
Entity
Organization
Contact information
Practice address
825 SEQUOIA CIRCLE, FORT BRAGG, CA 95347
(707) 964-0242
(707) 964-0244
Mailing address
825 SEQUOIA CIRCLE, FORT BRAGG, CA 95347
(707) 964-0242
(707) 964-0244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18587
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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