Dental Board of California
Licensing details for: 44216
Name: MILLER, MICHAEL JAMES
License Type: Dentist
Primary Status: Current - Active
Address of Record
2775 Via De La Valle
STE 101
DEL MAR CA 92014-1919
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MICHAEL J. MILLER, DMD, A PROFESSIONAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8757 Primary Status: Cancelled
Address :
2775 VIA DE LA VALLE
STE 101
DEL MAR CA 92014
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA PLAZA DENTAL CARE DENTAL OFFICE OF MICHAEL J. MILLER,
License/Registration Type: Fictitious Name Permit
License Number: 12398 Primary Status: Expired
Address :
10715 TIERRASANTA BLVD, SUITE C
SAN DIEGO CA 92124
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MILLER, MICHAEL JAMES
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2270 Primary Status: Cancelled
Address :
2775 VIA DE LA VALLE
STE #101
DEL MAR CA 92014
SAN DIEGO COUNTY
