Organization
WILLIS ORAL HEALTH SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICCETA WILLIS (DENTAL HYGENIST)
(615) 545-1471
Entity
Organization
Contact information
Practice address
5821 WOODLAND DR, OXON HILL, MD 20745-1234
(301) 830-8146
Mailing address
5821 WOODLAND DR, OXON HILL, MD 20745-1234
(301) 830-8146
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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