BRUCE WILLIS

YAKIMA, WA
NPI1629171889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA  DE00004817)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
-- BRUCE WILLIS DDS, MS
1107 SUMMITVIEW AVE
YAKIMA, WA 98902-3024
Phone number: 509-248-5181
Mailing Address
-- BRUCE WILLIS DDS, MS
1107 SUMMITVIEW AVE
YAKIMA, WA 98902-3024
Phone number: