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Individual

DR. WILLIAM LEE WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2510 NW KLINE ST, ROSEBURG, OR 97470
(541) 672-4899
(541) 957-9907
Mailing address
2510 NW KLINE ST, ROSEBURG, OR 97470
(541) 672-4899
(541) 957-9907

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7215
OR

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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