Miles Family Dental | |
417 E Il Route 173 Suite 113 Antioch IL 60002 | |
(847) 395-5550 | |
(847) 395-5575 |
Full Name | Miles Family Dental |
---|---|
Speciality | Dentist |
Location | 417 E Il Route 173, Antioch, Illinois |
Authorized Official Name and Position | Jeffrey P Miles (PRESIDENT) |
Authorized Official Contact | 8473955550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Miles Family Dental 417 E Il Route 173 Suite 113 Antioch IL 60002 Ph: (847) 395-5550 | Miles Family Dental 417 E Il Route 173 Suite 113 Antioch IL 60002 Ph: (847) 395-5550 |
NPI Number | 1851622187 |
---|---|
Provider Enumeration Date | 01/27/2010 |
Last Update Date | 01/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851622187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019025595 (Illinois) | Primary |
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