| NPI | 1154842466 |
|---|---|
| Former Legal Business Name | MERCED FAMILY DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | NATHAN WILLIAM MILLER Owner Dentist 209-723-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61768) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 100236) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-02-06 |