Dental Board of California
Licensing details for: 12398
Name: TIERRASANTA PLAZA DENTAL CARE DENTAL OFFICE OF MICHAEL J. MILLER,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: TIERRASANTA PLAZA DENTAL CARE MICHAEL J. MILLER, DMD, PC
Address of Record
10715 TIERRASANTA BLVD, SUITE C
SAN DIEGO CA 92124
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MILLER, MICHAEL JAMES
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MILLER, MICHAEL JAMES
License/Registration Type: Dentist License
License Number: 44216 Primary Status: Current - Active
Address :
2775 Via De La Valle
STE 101
DEL MAR CA 92014-1919
SAN DIEGO COUNTY
