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1629250485
KEITH RICHARD MILLARD
SAN DIEGO, CA
NPI
1629250485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA CA38719)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
Dr. KEITH RICHARD MILLARD Dentist
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500
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Mailing Address
Dr. KEITH RICHARD MILLARD Dentist
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500
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