Organization
MILES FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P MILES D.M.D. (PRESIDENT)
(847) 395-5550
Entity
Organization
Contact information
Practice address
417 E IL ROUTE 173, SUITE 113, ANTIOCH, IL 60002
(847) 395-5550
(847) 395-5575
Mailing address
417 E IL ROUTE 173, SUITE 113, ANTIOCH, IL 60002
(847) 395-5550
(847) 395-5575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025595
IL
Other
Enumeration date
01/27/2010
Last updated
01/22/2014
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