Gavin J. Miller, Dds, Inc.

NPI 1043566672 - Dentist - 1223G0001X

NPI Details
NPI 1043566672
Enumeration Date 08/01/2012
Last Updated 08/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GAVIN JACOB GAVIN
Position PRESIDENT
Phone (858) 546-7667
Fax (858) 546-7693
Practice Location
4130 LA JOLLA VILLAGE DR STE 205
LA JOLLA CA, 92037-1480, US
Phone (858) 546-7667
Fax (858) 546-7693
Business Location
4130 LA JOLLA VILLAGE DR STE 205
LA JOLLA CA, 92037-1480, US
Phone (858) 546-7667
Fax (858) 546-7693
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 42367
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According to our database, Gavin J. Miller, Dds, Inc. NPI is 1043566672, taxonomy code is 1223G0001X and license number is 42367, license state is located at California. Gavin J. Miller, Dds, Inc. physically located at 4130 La Jolla Village Dr Ste 205, La Jolla CA, 92037-1480. NPI Number 1033115704 has the healthcare provider type.

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1043566672 NPI number is provided on an as is basis without warranty of any kind. 1043566672 is maintained by the National Plan & Provider Enumeration System. The contents of Gavin J. Miller, Dds, Inc. are for informational purposes only.