| NPI | 1629522396 |
|---|---|
| Other Name | WILLIS DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID G WILLIS Dentist 503-364-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OR D7786) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-09-30 |