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Miller & Henriod Dental Partnership

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

NPI number1376976985
StatusActive
Last updated in NPPESAug 19, 2013

Details

NPI
1376976985
Entity type
Organization (NPI-2)
Legal business name
Miller & Henriod Dental Partnership
Organization subpart
No
Enumeration date
Aug 19, 2013
Last updated
Aug 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental21921CAYes
261QD0000X Clinic/Center, Dental55124CA

Practice location

72 N Hill Ave
Pasadena, CA 91106-1905

Phone 626-796-5386

Mailing address

72 N Hill Ave
Pasadena, CA 91106-1905

Phone 626-796-5386

Authorized official

Ronald W Miller
Partner
6267965386

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