Individual
TERRI LYNN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
113 PLANTATION AVE, SUITE A, CEDARTOWN, GA 30125
(770) 748-2622
(770) 749-1976
Mailing address
224 S COLLEGE ST, CEDARTOWN, GA 30125-2936
(770) 324-2459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013531
GA
Other
Enumeration date
05/25/2007
Last updated
10/06/2016
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