Individual
DR. JENNIFER NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4 KELLOGG RD, ESSEX JCT, VT 05452-2815
(802) 879-5151
Mailing address
4 KELLOGG RD, ESSEX JCT, VT 05452-2815
(802) 879-5151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0088863
VT
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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