NPI | 1316106115 |
---|---|
Doing Business As | WILLIS GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | SHELDON WILLIS Dentist 601-933-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 327903) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |