Individual
DR. KENNETH DANIEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
878 JACKSON PIKE, GALLIPOLIS, OH 45631-1391
(740) 446-7806
Mailing address
878 JACKSON PIKE, GALLIPOLIS, OH 45631-1391
(740) 446-7806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025895
OH
Other
Enumeration date
05/11/2018
Last updated
08/25/2022
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