Individual
DR. BRIAN D MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5640 WASATCH DR, STE. A, SOUTH OGDEN, UT 84403-4902
(801) 479-6590
(801) 479-6755
Mailing address
5640 WASATCH DR, STE. A, SOUTH OGDEN, UT 84403-4902
(801) 479-6590
(801) 479-6755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6872175-9921
UT
Other
Enumeration date
02/06/2008
Last updated
06/20/2011
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