Miller, Gavin Jacob

Miller, Gavin Jacob is an individual health care provider with primary practice located at 4130 La Jolla Village Dr Ste 205 , La Jolla CA 92037-1480. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Miller, Gavin Jacob can be contacted via phone (858) 546-7667.

Contact Information

Primary practice address
4130 La Jolla Village Dr Ste 205 La Jolla CA 92037-1480
Fax: (858) 546-7693
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42367 California

Profile Details

NPI number 1568517183
LBN Legal business name Miller, Gavin Jacob
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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