Organization
GREG MILLER, DDS, INC
Active
Other names
Marin Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG CHARLES MILLER DDS, MS (CEO)
(562) 900-9263
Entity
Organization
Contact information
Practice address
1730 NOVATO BLVD, SUITE I, NOVATO, CA 94947-3048
(415) 897-4191
Mailing address
1730 NOVATO BLVD, SUITE I, NOVATO, CA 94947-3048
(415) 897-4191
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53002
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
55699
CA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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