Provider Demographics
NPI:1548463573
Name:MILES, KRISTIN M (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:M
Last Name:MILES
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:115 CENTRAL PARK W
Mailing Address - Street 2:SUITE 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4198
Mailing Address - Country:US
Mailing Address - Phone:212-362-7872
Mailing Address - Fax:212-362-7873
Practice Address - Street 1:115 CENTRAL PARK W
Practice Address - Street 2:SUITE 10
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:212-362-7872
Practice Address - Fax:212-362-7873
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0472491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry