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NPI Code Detail

MEDICARE: DR. LAURA CLAIRE MILLER DDS

MEDICARE: DR. LAURA CLAIRE MILLER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry62365CA

General Provider Information

NPI Number : 1831518612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA CLAIRE MILLER DDS
Provider Business Mailing Address
First Line : 10 EL CAMINO
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070
Country : US
Telephone Number : 650-593-4433
Fax Number :
Provider Business Practice Location Address
First Line : 10 EL CAMINO
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070-2451
Country : US
Telephone Number : 650-593-4433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 04/09/2014

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