TREVA WILLIS

ANNAPOLIS, MD
NPI1073651618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MD  12963)
Enumeration Date2007-02-04
Last Update Date2007-07-08
Business Address
TREVA WILLIS
180 ADMIRAL COCHRANE DR
ANNAPOLIS, MD 21401-7300
Phone number: 410-841-5131
Mailing Address
TREVA WILLIS
180 ADMIRAL COCHRANE DR
ANNAPOLIS, MD 21401-7300
Phone number: