Organization
NELSON AND WILLIS LLC
Active
Other names
Willis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK NELSON DMD (OWNER)
(503) 364-3004
Entity
Organization
Contact information
Practice address
631 JASON ST NE STE 150, SALEM, OR 97301-2318
(503) 364-3004
(503) 364-1623
Mailing address
631 JASON ST NE STE 150, SALEM, OR 97301-2318
(503) 364-3004
(503) 364-1623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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