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Individual

DR. HAMIL J WILLOUGHBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
184 SULLIVAN HALL, STONY BROOK UNIVERSITY SCHOOL OF DENTAL MEDICINE, STONY BROOK, NY 11794-8705
(631) 632-8975
(631) 632-3747
Mailing address
59 MEREDITH AVE, SAG HARBOR, NY 11963-3224
(631) 725-8798

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
027222
NY

Other

Enumeration date
08/28/2008
Last updated
09/11/2012
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