Individual
DR. MATTHEW MICHAEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 MORGAN PL, SUMMERVILLE, SC 29485-8106
(843) 851-2951
Mailing address
101 MORGAN PL, SUMMERVILLE, SC 29485-8106
(843) 851-2951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD10202
SC
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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