Individual
JOSEPH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-4425
(217) 540-5100
Mailing address
1224 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-4425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6975
OK
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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