Organization
SUSAN MILLAR DDS A PROFESSIONAL CORPORATION
Active
Other names
Susan Millar DDS A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F MILLAR (PRESIDENT)
(714) 546-3000
Entity
Organization
Contact information
Practice address
1503 S COAST DR STE 200, COSTA MESA, CA 92626-1546
(714) 546-3000
(714) 546-3010
Mailing address
2850 MESA VERDE DRIVE E., SUITE A, COSTA MESA, CA 92626
(714) 546-3000
(714) 546-3010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40377
CA
Other
Enumeration date
08/29/2012
Last updated
11/14/2019
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