Organization
HEALTHY DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGHTON THOMAS MILLER DDS (DENTIST)
(714) 588-9094
Entity
Organization
Contact information
Practice address
2501 NW 229TH AVE, HILLSBORO, OR 97124-5506
(650) 400-4439
Mailing address
85 ARGONAUT, SUITE #220, ALISO VIEJO, CA 92656-4132
(714) 588-9094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9973
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295168938
HEALTH CARE
OR
01
—
1366460545
HEALTH CARE
OR
Enumeration date
12/24/2015
Last updated
12/24/2015
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