Organization
MILLER AND KAN, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Miller and Kan Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG CHARLES MILLER D.D.S. (SECRETARY)
(562) 427-1426
Entity
Organization
Contact information
Practice address
4301 ATLANTIC AVE, SUITE 2, LONG BEACH, CA 90807-2833
(562) 427-1426
(562) 427-4406
Mailing address
4301 ATLANTIC AVE, SUITE 2, LONG BEACH, CA 90807-2833
(562) 427-1426
(562) 427-4406
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53002
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083800783
NPI TYPE 1
—
01
—
1194975458
NPI TYPE 1
—
Enumeration date
06/10/2010
Last updated
06/10/2010
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