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Organization

WILLIS FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH WILLIS (DENTIST)
(251) 660-1514
Entity
Organization

Contact information

Practice address
6217 COTTAGE HILL RD, MOBILE, AL 36609-3109
(251) 660-1514
Mailing address
6217 COTTAGE HILL RD, MOBILE, AL 36609-3109
(251) 660-1514

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15435837
NPI
Enumeration date
09/17/2018
Last updated
09/17/2018
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