Individual
DR. ETHEL MARLENE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
425 W 20TH ST, SUITE 3, NORFOLK, VA 23517-2128
(757) 622-4245
(757) 622-3722
Mailing address
5 FISCELLA CT, HAMPTON, VA 23669-1865
(757) 851-5549
(757) 851-5549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401 006823
VA
1223G0001X
General Practice Dentistry
50053477
NY
1223G0001X
General Practice Dentistry
63226209921
UT
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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