Individual
DR. ROBERT MERLE WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2536 FARRAGUT DR, SPRINGFIELD, IL 62704-1433
(217) 787-4455
(217) 787-1439
Mailing address
1408 WOODS FARM LN, SPRINGFIELD, IL 62704-6431
(217) 546-3814
(217) 787-1439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0210000923
IL
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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