Individual
DR. WILLIE T CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(301) 677-6983
Mailing address
8476 SIMMOND ST, FORT MEADE, MD 20755-7083
(301) 677-6983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16853
MD
122300000X
Dentist
50873
CA
Other
Enumeration date
09/20/2005
Last updated
06/23/2022
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