Mark P. Miller D.D.S.

NPI 1053599415 - Dentist - 122300000X

NPI Details
NPI 1053599415
Gender Male
Enumeration Date 02/07/2008
Last Updated 02/07/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1254 IRVINE BLVD
SUITE 160
TUSTIN CA, 92780-3509, US
Phone (714) 838-0010
Fax (714) 838-0011
Business Location
1254 IRVINE BLVD
SUITE 160
TUSTIN CA, 92780-3509, US
Phone (714) 838-0010
Fax (714) 838-0011
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 22748
Remove 1053599415 NPI Number
 

According to our database, Dr. Mark P. Miller D.D.S. NPI is 1053599415, taxonomy code is 122300000X and license number is 22748, license state is located at California. Mark P. Miller D.D.S. physically located at 1254 Irvine Blvd, Tustin CA, 92780-3509. NPI Number Mark P. Miller D.D.S. has the Individual type.

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1053599415 NPI number is provided on an as is basis without warranty of any kind. 1053599415 is maintained by the National Plan & Provider Enumeration System. The contents of Mark P. Miller D.D.S. are for informational purposes only.