| Susan Millar Dds A Professional Corporation | |
|
1503 S Coast Dr Ste 200 Costa Mesa CA 92626-1546 | |
| (714) 546-3000 | |
| (714) 546-3010 |
| Full Name | Susan Millar Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1503 S Coast Dr Ste 200, Costa Mesa, California |
| Authorized Official Name and Position | Susan F Millar (PRESIDENT) |
| Authorized Official Contact | 7145463000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Millar Dds A Professional Corporation 2850 Mesa Verde Drive E. Suite A Costa Mesa CA 92626 Ph: (714) 546-3000 | Susan Millar Dds A Professional Corporation 1503 S Coast Dr Ste 200 Costa Mesa CA 92626-1546 Ph: (714) 546-3000 |
| NPI Number | 1104174762 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104174762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 40377 (California) | Primary |
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