Organization
C MICHAEL WILLOCK, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD MICHAEL WILLOCK DDS (PRESIDENT)
(919) 942-2154
Entity
Organization
Contact information
Practice address
861 WILLOW DR, STE 1, CHAPEL HILL, NC 27514-7076
(919) 942-2154
(919) 929-4166
Mailing address
861 WILLOW DR, STE 1, CHAPEL HILL, NC 27514-7076
(919) 942-2154
(919) 929-4166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5885
NC
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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