Miller, Mark Wayne
Miller, Mark Wayne is an sole proprietor health care provider with primary practice located at 5201 Deer Valley Rd Ste 3B, Antioch CA 94531-7429. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miller, Mark Wayne can be contacted via phone (925) 754-6020.Contact Information
Primary practice address
5201 Deer Valley Rd Ste 3B
Antioch CA 94531-7429
Phone: (925) 754-6020
Fax: (925) 754-5082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 25951 | California |
Profile Details
| NPI number | 1235139544 |
|---|---|
| LBN Legal business name | Miller, Mark Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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