Individual
DR. JEFFREY P. MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
417 E IL ROUTE 173, SUITE 113, ANTIOCH, IL 60002-9407
(847) 395-5550
(847) 395-5575
Mailing address
417 E IL ROUTE 173, SUITE 113, ANTIOCH, IL 60002-9407
(847) 395-5550
(847) 395-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025595
IL
Other
Enumeration date
10/17/2006
Last updated
02/03/2014
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