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NPI Code Detail

MEDICARE: MISS ALLISON MILES RDH

MEDICARE: MISS ALLISON MILES RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistH7050OR

General Provider Information

NPI Number : 1467818302
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON MILES RDH
Provider Business Mailing Address
First Line : 2415 E 18TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3985
Country : US
Telephone Number : 541-993-7110
Fax Number :
Provider Business Practice Location Address
First Line : 501 E 7TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-2677
Country : US
Telephone Number : 541-298-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2016
Last Update Date : 01/07/2016

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Directions to “ MISS ALLISON MILES RDH” Practice Location

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