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Organization

STANLEY MILLER DDS, PROFESSIONAL CORPORATION

Active
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Organization

STANLEY MILLER DDS, PROFESSIONAL CORPORATION

Active
Other names
Dental Works
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY KELLY MILLER D.D.S. (PRESIDENT)
(951) 769-0466
Entity
Organization

Contact information

Practice address
6350 W RAMSEY ST, SUITE #A, BANNING, CA 92220-3062
(951) 769-0466
(951) 769-3606
Mailing address
6350 W RAMSEY ST, SUITE #A, BANNING, CA 92220-3062
(951) 769-0466
(951) 769-3606

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43640
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000043640CA
DELTA DENTAL
CA
05
—
G9167801
—
CA
Enumeration date
01/16/2007
Last updated
12/02/2010
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