Roderick E Mcmillen DDS a Dental Corp
NPI #1215037684 in Fort Bragg, California
Provider Information
- NPI Number
- 1215037684
- Entity Type
- Organization
- Organization Name
- Roderick E Mcmillen DDS a Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 825 SEQUOIA CIRCLE
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95347
- Phone
- (707) 964-0242
Authorized Official
- Name
- RODERICK E MCMILLEN, DDS
- Title
- PRESIDENT OF SMALL CORP
- Phone
- (707) 964-0242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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