| NPI | 1912729120 |
|---|---|
| Doing Business As | MILES & MICHAEL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMANDA R HORTON Credential Coordinator 910-815-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |