| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 560 W. 26th St., Merced, California |
| Authorized Official Name and Position | Nathan William Miller (OWNER DENTIST) |
| Authorized Official Contact | 2097235405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
560 W. 26th St. Merced CA 95340 Ph: (209) 723-5405 | 560 W. 26th St. Merced CA 95340 Ph: (209) 723-5405 |
| NPI Number | 1154842466 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154842466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61768 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 100236 (California) | Secondary |
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