Individual
DR. DAWN MARIE MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12966 MAIN ST, GARDEN GROVE, CA 92840-5115
(714) 530-5720
(714) 530-1465
Mailing address
12966 MAIN ST, GARDEN GROVE, CA 92840-5115
(714) 530-5720
(714) 530-1465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1958
WI
152W00000X
Optometrist
Primary
7765T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077650
—
CA
Enumeration date
05/19/2006
Last updated
07/08/2007
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