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Miller And Skinner Dental Group Corporation Of North Merced

Clinic/Center, Dental in Merced, CA. Organization (NPI-2).

NPI number1336798651
StatusActive
Last updated in NPPESSep 9, 2019

Details

NPI
1336798651
Entity type
Organization (NPI-2)
Legal business name
Miller And Skinner Dental Group Corporation Of North Merced
Organization subpart
No
Enumeration date
Sep 9, 2019
Last updated
Sep 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

3071 College Green Dr Ste C
Merced, CA 95348-3204

Phone 209-722-3961

Mailing address

530 W 21st St Ste B
Merced, CA 95340-3719

Authorized official

Nathan Miller
Owner
4804523022

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