Organization
MILES MADISON D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES MADISON DDS (OWNER)
(310) 553-2940
Entity
Organization
Contact information
Practice address
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212-4815
(310) 553-2940
(310) 553-5096
Mailing address
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212-4815
(310) 553-2940
(310) 553-5096
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
37446
CA
Other
Enumeration date
03/12/2018
Last updated
05/21/2024
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