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Individual

DR. BRIAN H WILLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2019 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 484-1555
(910) 323-9287
Mailing address
2019 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 484-1555
(910) 323-9287

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6292
NC

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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