| Marlene A. Miller, Dmd, Inc. | |
|
18102 Irvine Blvd Suite 203 Tustin CA 92780-3402 | |
| (714) 544-5337 | |
| (714) 544-1558 |
| Full Name | Marlene A. Miller, Dmd, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 18102 Irvine Blvd, Tustin, California |
| Authorized Official Name and Position | Marlene Alexander Miller (PRESIDENT) |
| Authorized Official Contact | 7145445337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlene A. Miller, Dmd, Inc. 11705 Mcdougall Tustin CA 92782-3364 Ph: (714) 505-9477 | Marlene A. Miller, Dmd, Inc. 18102 Irvine Blvd Suite 203 Tustin CA 92780-3402 Ph: (714) 544-5337 |
| NPI Number | 1255537395 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255537395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 55613 (California) | Primary |
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