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Individual

DR. JENNIFER ANN MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
930 W MAIN ST, BRIDGEPORT, WV 26330-1673
(304) 842-7568
Mailing address
930 W MAIN ST, BRIDGEPORT, WV 26330-1673
(304) 842-7568

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4225
WV

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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