Provider Demographics
NPI:1063727501
Name:MILLAN DENTAL CARE II, PC
Entity type:Organization
Organization Name:MILLAN DENTAL CARE II, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIRIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-269-3951
Mailing Address - Street 1:505 W. LEIGH ST.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220
Mailing Address - Country:US
Mailing Address - Phone:804-269-3951
Mailing Address - Fax:804-269-3962
Practice Address - Street 1:505 W. LEIGH ST.
Practice Address - Street 2:SUITE 204
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220
Practice Address - Country:US
Practice Address - Phone:804-269-3951
Practice Address - Fax:804-269-3962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty