Provider Demographics
NPI:1588425375
Name:F MILLOT DDS DENTAL CORP
Entity type:Organization
Organization Name:F MILLOT DDS DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLOT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:323-582-6938
Mailing Address - Street 1:7705 SEVILLE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6570
Mailing Address - Country:US
Mailing Address - Phone:323-582-6938
Mailing Address - Fax:310-388-1088
Practice Address - Street 1:7705 SEVILLE AVE STE A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6570
Practice Address - Country:US
Practice Address - Phone:323-582-6938
Practice Address - Fax:310-388-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental