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Dr. Miles Madison, DDS
Periodontist in Beverly Hills, California
NPI 1477687580

Miles Madison is a Periodontist based in El Monte, CA and is specialized in Periodontics. Miles Madison practices in Beverly Hills, CA and has the professional credentials of DDS. The NPI Number for Miles Madison is 1477687580 and holds a License No. 37446 (California).

The current practice location address for Miles Madison is 350 S Beverly Dr Ste 160, Beverly Hills, CA and can be reached out via phone at 310-553-2940 and via fax at 310-553-5096.

Location: 350 S Beverly Dr Ste 160, Beverly Hills, CA, 91733-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477687580
Provider Name
Miles Madison
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
350 S Beverly Dr Ste 160, Beverly Hills, CA, 91733-1369
Phone Number
310-553-2940
Fax Number
310-553-5096
Provider Enumeration Date
03/14/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B37446 05 CA
institution
Provider Business Practice Location Address Details
Address
350 S Beverly Dr Ste 160
City
Beverly Hills
State
California
Zip
90212-4815
Phone Number
310-553-2940
Fax Number
310-553-5096
person
Provider Business Mailing Address Details
Address
350 S Beverly Dr Ste 160
City
Beverly Hills
State
California
Zip
90212-4815
Phone Number
310-553-2940
Fax Number
310-553-5096
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
37446 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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