Individual
DR. ROBERT L WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
71 RIDGECREST DR, MAMMOTH LAKES, CA 93546-0101
(760) 920-0542
(760) 111-1111
Mailing address
PO BOX 101, PO BOX 101, MAMMOTH LAKES, CA 93546-0101
(760) 992-0054
(760) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
032414
CA
Other
Enumeration date
10/19/2006
Last updated
09/03/2008
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