Organization
R. GLEN WILLIS, DMD, PA
Active
Other names
Willis and Hook Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH G WILLIS DMD (DENTIST OWNER)
(803) 327-4166
Entity
Organization
Contact information
Practice address
1144 INDIA HOOK RD STE F, ROCK HILL, SC 29732-2400
(803) 327-4166
(803) 327-2086
Mailing address
1144 INDIA HOOK RD STE F, ROCK HILL, SC 29732-2400
(803) 327-4166
(803) 327-2086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3242
SC
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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