Amanda Miles, DHAT

NPI #1538541693 in Kodiak, Alaska

Provider Information

NPI Number: 1538541693
Entity Type: Individual
Name: Amanda Miles, DHAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Therapist
Credential: DHAT
Enumeration Date: Jun 25, 2015
Last Updated: Jun 25, 2015

Practice Location

Address: 3449 E. REZANOF DRIVE
Address 2: DENTAL DEPARTMENT
City: Kodiak
State: Alaska
ZIP Code: 99615-3449
Phone: (907) 486-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X	Primary

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