# BREANNA KRISTEN WILES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861840852
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 61141 | KS | Yes |
| 122300000X | Dentist | DN15315 | GA | — |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 09/10/2025