Individual
DR. RICHARD DENNIS WILLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2003 FORSYTHE AVE, MONROE, LA 71201-3608
(318) 388-2621
(318) 388-2835
Mailing address
2003 FORSYTHE AVE, MONROE, LA 71201-3608
(318) 388-2621
(318) 388-2835
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2890
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1828904
—
LA
Enumeration date
10/20/2005
Last updated
07/08/2007
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