| Miller & Henriod Dental Partnership | |
|
72 N Hill Ave Pasadena CA 91106-1905 | |
| (626) 796-5386 | |
| Not Available |
| Full Name | Miller & Henriod Dental Partnership |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 72 N Hill Ave, Pasadena, California |
| Authorized Official Name and Position | Ronald Wade Miller (OWNER) |
| Authorized Official Contact | 6267965386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller & Henriod Dental Partnership 72 N Hill Ave Pasadena CA 91106-1905 Ph: (626) 796-5386 | Miller & Henriod Dental Partnership 72 N Hill Ave Pasadena CA 91106-1905 Ph: (626) 796-5386 |
| NPI Number | 1689946980 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689946980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 21921 (California) | Primary |
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