Organization
HANK WILLIS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANK WILLI IV DDS (DENTIST)
(208) 267-6454
Entity
Organization
Contact information
Practice address
6811 MAIN ST, STE A, BONNERS FERRY, ID 83805-8649
(208) 267-6454
(208) 267-6457
Mailing address
6811 MAIN ST, STE A, BONNERS FERRY, ID 83805-8649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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