Individual
DR. MAHOGANY MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
384 MONTAUK HWY, SUITE 4, WAINSCOTT, NY 11975-2000
(631) 537-1505
(631) 537-1577
Mailing address
PO BOX 528, WAINSCOTT, NY 11975-0528
(631) 537-1505
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
057248
NY
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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