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Organization
MICHAEL J. MILLER, DMD, A PROFESSIONAL CORPORATION
Active
Organization
MICHAEL J. MILLER, DMD, A PROFESSIONAL CORPORATION
Active
Other names
Tierrasanta Plaza Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE L VAN DYKEN (ASSISTANT OFFICE MANAGER)
(858) 278-6444
Entity
Organization
Contact information
Practice address
10715 TIERRASANTA BLVD, SUITE C, SAN DIEGO, CA 92124-2610
(858) 278-6444
(828) 279-6444
Mailing address
10715 TIERRASANTA BLVD, SUITE C, SAN DIEGO, CA 92124-2610
(858) 278-6444
(828) 279-6444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44216
CA
Other
Enumeration date
07/02/2015
Last updated
07/16/2015
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