Organization
BRADLEY W. WILLIS,
Active
Other names
Willis Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY W WILLIS D.M.D. (OWNER)
(334) 260-2929
Entity
Organization
Contact information
Practice address
8161 SEATON PL STE A, MONTGOMERY, AL 36116-7205
(334) 260-2929
(334) 396-7874
Mailing address
8161 SEATON PL STE A, MONTGOMERY, AL 36116-7205
(334) 260-2929
(334) 396-7874
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4554
AL
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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