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Individual
MILES RICHARD DI SABELLA
Active
Individual
MILES RICHARD DI SABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61067130
WA
1223G0001X
General Practice Dentistry
DE61067130
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/02/2019
Last updated
01/21/2025
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