Miles Dental Care
Dentist, General Practice in Fort Worth, TX. Organization (NPI-2).
NPI number1003045246
StatusActive
Last updated in NPPESJul 9, 2009
Details
- NPI
- 1003045246
- Entity type
- Organization (NPI-2)
- Legal business name
- Miles Dental Care
- Organization subpart
- No
- Enumeration date
- Jul 9, 2009
- Last updated
- Jul 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14,222 | TX | Yes |
Practice location
6263 McCart Ave201
Fort Worth, TX 76133-4200
Phone 817-370-1314 · Fax 817-370-1344
Mailing address
6263 McCart Ave201
Fort Worth, TX 76133-4200
Phone 817-370-1314 · Fax 817-370-1344
Authorized official
Billy Wayne Miles
Owner
8173701314
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