| Miles Family Dental | |
|
417 E Il Route 173 Suite 113 Antioch IL 60002 | |
| (847) 395-5550 | |
| (847) 395-5575 |
| Full Name | Miles Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 417 E Il Route 173, Antioch, Illinois |
| Authorized Official Name and Position | Jeffrey P Miles (PRESIDENT) |
| Authorized Official Contact | 8473955550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Family Dental 417 E Il Route 173 Suite 113 Antioch IL 60002 Ph: (847) 395-5550 | Miles Family Dental 417 E Il Route 173 Suite 113 Antioch IL 60002 Ph: (847) 395-5550 |
| NPI Number | 1851622187 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851622187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025595 (Illinois) | Primary |
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