Organization
LAUREL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGHTON MILLER DDS (OWNER)
(949) 305-2253
Entity
Organization
Contact information
Practice address
1730 WALTON RD STE 112, BLUE BELL, PA 19422-2301
(949) 305-2253
Mailing address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
(949) 305-2253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
02/16/2022
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