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Organization
WILLIS FAMILY DENTISTRY
Active
Organization
WILLIS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHRIE WILLIS D.D.S. (DENTIST/OWNER)
(972) 240-7585
Entity
Organization
Contact information
Practice address
5335 BROADWAY BLVD STE 209, GARLAND, TX 75043-7099
(972) 240-7585
(972) 303-6109
Mailing address
5335 BROADWAY BLVD STE 209, GARLAND, TX 75043-7099
(972) 240-7585
(972) 303-6109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216234901
—
TX
05
—
216234924
—
TX
05
—
216234925
—
TX
05
—
216234926
—
TX
Enumeration date
03/01/2013
Last updated
07/07/2014
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