Individual
DR. LARRY WILLIS MILES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2105 DAWSON RD, ALBANY, GA 31707-3207
(229) 432-2213
(229) 432-5888
Mailing address
2105 DAWSON RD, ALBANY, GA 31707-3207
(229) 432-2213
(229) 432-5888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013118
GA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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