| NPI | 1225782261 |
|---|---|
| Doing Business As | WILLIS DENTAL |
| Entity Type | Organization |
| Authorized Contact | BROCK NELSON Owner 503-364-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |