Individual
BRENDAN WILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 E 125TH ST, NEW YORK, NY 10035-1685
(646) 827-9819
Mailing address
1206 SADDLEBACK WAY, BEL AIR, MD 21014-1828
(443) 987-8422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064999
NY
Other
Enumeration date
03/27/2024
Last updated
09/06/2025
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