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Organization
MILLENIA DENTAL INC
Active
Organization
MILLENIA DENTAL INC
Active
Other names
Millenia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRZA BAIG (OPERATIONS MANAGER)
(331) 431-9059
Entity
Organization
Contact information
Practice address
1745 EASTLAKE PKWY, SUITE 102, CHULA VISTA, CA 91915-2033
(619) 421-4800
Mailing address
1745 EASTLAKE PKWY, SUITE 102, CHULA VISTA, CA 91915-2033
(619) 421-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62383
—
CA
Enumeration date
02/04/2015
Last updated
02/04/2015
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