IndividualActive
Alan Mills, DENTAL ASST 68EX2
NPI 1356897615 · Dental Assistant · Fort Irwin, CA
Provider details
- NPI number
- 1356897615
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASST 68EX2
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
Bldg 171
4th & Inner Loop Road
Fort Irwin, CA 92310
Phone: (719) 526-5537
Approximate (ZIP-level) locationGet directions
Mailing address
Bldg 171
Fort Irwin, CA 92310
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2017-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.