Grant Douglas Wiles D.D.S

NPI 1083728745 - Dentist - 1223G0001X

NPI Details
NPI 1083728745
Gender Male
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2029 VALLEYGATE DR
SUITE 201
FAYETTEVILLE NC, 28304-3688, US
Phone (910) 485-8885
Fax (910) 485-8287
Business Location
2029 VALLEYGATE DR
SUITE 201
FAYETTEVILLE NC, 28304-3688, US
Phone (910) 485-8885
Fax (910) 485-8287
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 8043
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According to our database, Grant Douglas Wiles D.D.S NPI is 1083728745, taxonomy code is 1223G0001X and license number is 8043, license state is located at North Carolina. Grant Douglas Wiles D.D.S physically located at 2029 Valleygate Dr, Fayetteville NC, 28304-3688. NPI Number Grant Douglas Wiles D.D.S has the Individual type.

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1083728745 NPI number is provided on an as is basis without warranty of any kind. 1083728745 is maintained by the National Plan & Provider Enumeration System. The contents of Grant Douglas Wiles D.D.S are for informational purposes only.