Organization
GREG MILLER, DDS, INC.
Active
Other names
Pleasant Hill Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG CHARLES MILLER D.D.S, M.S. (PRESIDENT)
(562) 900-9263
Entity
Organization
Contact information
Practice address
81 GREGORY LN, 240, PLEASANT HILL, CA 94523-3386
(925) 322-0005
Mailing address
81 GREGORY LN, 240, PLEASANT HILL, CA 94523-3386
(925) 322-0005
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55699
DENTAL LICENSE
CA
Enumeration date
05/06/2015
Last updated
01/04/2017
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