DAVID WILLIS DMD LLC NPI 1629522396

NPI Information

DAVID WILLIS DMD, LLC is a customized equipment durable medical equipment medical supplies in Salem, OR. DAVID WILLIS DMD, LLC NPI is 1629522396. The provider is registered as an organization entity type.
The provider Other Name Is Willis Dental.

The provider's business location address is:

1261 LANCASTER DR NE
SALEM, OR
ZIP 97301-959
Phone: (503) 364-3004
Fax: (503) 364-1623

The provider's authorized official is David G Willis .
The authorized official title is Dentist and has the following contact phone number (503) 364-3004.

The enumeration date for this NPI number is 8/10/2016 and was last updated on 9/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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