Individual
MAKAYLA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1382 S PARK ST, CARROLLTON, GA 30117-4411
(678) 664-3260
Mailing address
212 BLUE SKY DR NW, CONCORD, NC 28027-7341
(504) 920-9192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13421
NC
1223G0001X
General Practice Dentistry
Primary
DN123596
GA
Other
Enumeration date
08/01/2023
Last updated
09/19/2024
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