Individual
MISS MILES BUNOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(562) 606-7325
Mailing address
3350 BALTIC AVE, LONG BEACH, CA 90810-2320
(562) 606-7325
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
89203
CA
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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