MICHAEL KENNETH WILLIS

FORT MYERS, FL
NPI1912091869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 4738)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. MICHAEL KENNETH WILLIS D.M.D.
47 BARKLEY CIR
FORT MYERS, FL 33907-7531
Phone number: 239-936-0181
Mailing Address
Dr. MICHAEL KENNETH WILLIS D.M.D.
47 BARKLEY CIR
FORT MYERS, FL 33907-7531
Phone number: 239-936-0181
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