Organization
MARLENE A. MILLER, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE ALEXANDER MILLER (PRESIDENT)
(714) 544-5337
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD, SUITE 203, TUSTIN, CA 92780-3402
(714) 544-5337
(714) 544-1558
Mailing address
11705 MCDOUGALL, TUSTIN, CA 92782-3364
(714) 505-9477
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
55613
CA
Other
Enumeration date
06/25/2007
Last updated
02/16/2011
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