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Individual

DR. MILES MADISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212-4815
(310) 553-2940
(310) 553-5096
Mailing address
3131 SANTA ANITA AVE, SUITE 201, EL MONTE, CA 91733-1369
(626) 444-2605
(626) 444-0615

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37446
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B37446
CA
Enumeration date
03/14/2007
Last updated
05/21/2024
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