Organization
MILLER & HENRIOD DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WADE MILLER DDS (OWNER)
(626) 796-5386
Entity
Organization
Contact information
Practice address
72 N HILL AVE, PASADENA, CA 91106-1905
(626) 796-5386
Mailing address
72 N HILL AVE, PASADENA, CA 91106-1905
(626) 796-5386
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21921
CA
Other
Enumeration date
02/01/2012
Last updated
02/07/2014
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