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Individual
DR. DOYLE BRADLEY WILLIAMS
Active
Individual
DR. DOYLE BRADLEY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173259
UNITED CONCORDIA
TX
01
—
85D561
FEDERAL BLUE CROSS
TX
Enumeration date
04/06/2007
Last updated
12/11/2007
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