Individual
DR. D DOUGLAS MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7149
Mailing address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019109418
IL
1223P0300X
Periodontics
014578
MO
Other
Enumeration date
07/08/2008
Last updated
01/26/2023
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