Individual
DR. OLIVER LEE WILLHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
7400 FLEUR DR STE 100, DES MOINES, IA 50321-3105
(515) 285-6134
(515) 285-2249
Mailing address
7400 FLEUR DR STE 100, DES MOINES, IA 50321-3105
(515) 285-6134
(515) 285-2249
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7331
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578697058
—
IA
Enumeration date
02/04/2014
Last updated
02/04/2014
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