Individual
MS. JANE MIRANDA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., B.S., RDH
Contact information
Practice address
312 SHORT STREET, BENTON, AR 72015
(501) 519-7645
Mailing address
P. O. BOX 23436, LITTLE ROCK, AR 72221-3436
(501) 519-7645
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1835
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194770362
NPI
AR
Enumeration date
06/10/2009
Last updated
06/10/2009
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