Individual
MR. DALE WILLIAM WILLETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TECHNICIAN
Contact information
Practice address
3733 RIVERBROOK DR, LOUISVILLE, TN 37777
(714) 914-6180
(865) 233-7747
Mailing address
3733 RIVERBROOK DR, LOUISVILLE, TN 37777-3159
(714) 914-6180
(865) 233-7747
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
07/21/2022
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