Individual
TIFFANY ELIZABETH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4542 SPRING STUEBNER RD, SPRING, TX 77389-4633
(281) 376-2706
Mailing address
2245 S BEVERLY GLEN BLVD APT 208, LOS ANGELES, CA 90064-2439
(281) 770-8429
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37532
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2021
Last updated
10/10/2022
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