| Nicolle Miller, Dds A Professional Dental Corporation | |
|
197 Woodland Pkwy Ste 100 San Marcos CA 92069-3020 | |
| (760) 585-9598 | |
| Not Available |
| Full Name | Nicolle Miller, Dds A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 197 Woodland Pkwy Ste 100, San Marcos, California |
| Authorized Official Name and Position | Nicolle Miller (PRESIDENT) |
| Authorized Official Contact | 7605859598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolle Miller, Dds A Professional Dental Corporation 197 Woodland Pkwy Ste 100 San Marcos CA 92069-3020 Ph: (760) 585-9598 | Nicolle Miller, Dds A Professional Dental Corporation 197 Woodland Pkwy Ste 100 San Marcos CA 92069-3020 Ph: (760) 585-9598 |
| NPI Number | 1861123341 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861123341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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