Individual
DR. BRIE'EL WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21935 S 187TH WAY, QUEEN CREEK, AZ 85142-6463
(480) 353-0701
Mailing address
21935 S 187TH WAY, QUEEN CREEK, AZ 85142-6463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010813
AZ
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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