NPI | 1285016154 |
---|---|
Doing Business As | WILLIS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRADLEY W WILLIS Owner 334-260-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4554) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2015-06-26 |