Whalio Doctors

NPI 1538541693

Amanda Miles, DHAT

Practitioner Dental Therapist Kodiak, AK

Practice location

Address
3449 E. Rezanof Drive Dental Department, Kodiak, AK 99615-3449
Phone
(907) 486-9850

Registered specialties

Dental Therapist Primary
Dental Providers Taxonomy 125J00000X Licence 247200000X (AK)

Registry record

NPI
1538541693
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jun 2015
Record last updated
25 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.