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1568535011
WARREN RICHARD WILLIS
EMMETT, ID
NPI
1568535011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3635)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Dr. WARREN RICHARD WILLIS D.M.D
119 N WARDWELL AVE
EMMETT, ID 83617-3040
Phone number: 208-365-6313
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Mailing Address
Dr. WARREN RICHARD WILLIS D.M.D
119 N WARDWELL AVE
EMMETT, ID 83617-3040
Phone number: 208-365-6313
Copy
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