Pleasant Hill Orthodontics | |
81 Gregory Ln 240 Pleasant Hill CA 94523-3386 | |
(925) 322-0005 | |
Not Available |
Full Name | Pleasant Hill Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 81 Gregory Ln, Pleasant Hill, California |
Authorized Official Name and Position | Greg Charles Miller (PRESIDENT) |
Authorized Official Contact | 5629009263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pleasant Hill Orthodontics 81 Gregory Ln 240 Pleasant Hill CA 94523-3386 Ph: (925) 322-0005 | Pleasant Hill Orthodontics 81 Gregory Ln 240 Pleasant Hill CA 94523-3386 Ph: (925) 322-0005 |
NPI Number | 1336526607 |
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Provider Enumeration Date | 05/06/2015 |
Last Update Date | 01/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336526607 | NPI | - | NPPES |
55699 | Other | CA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 55699 (California) | Primary |
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California Smile Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Contra Costa Boulevard, Suite B, Pleasant Hill, CA 94523 Phone: 925-689-2748 Fax: 925-689-2476 | |
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