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Individual

MR. BILLY WAYNE MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8301 WHITLEY RD, WATAUGA, TX 76148-2483
(817) 502-1800
Mailing address
8301 WHITLEY RD, WATAUGA, TX 76148-2483
(817) 502-1800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14222
TX

Other

Enumeration date
08/30/2006
Last updated
09/16/2013
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