Individual
DR. JON YOUNG WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
LA CLINICA MONUMENT DENTAL 2000 SIERRA ROAD, 2ND FLOOR, CONCORD, CA 94518
(925) 363-1256
(925) 356-2499
Mailing address
1804 COLE AVE APT 1, WALNUT CREEK, CA 94596-4043
(913) 406-5142
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
100042
CA
1223G0001X
General Practice Dentistry
60319
KS
Other
Enumeration date
08/09/2006
Last updated
04/03/2018
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