Organization
WILLHAM ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER LEE WILLHAM DDS MS (ORTHODONTIST OWNER)
(515) 285-6134
Entity
Organization
Contact information
Practice address
7400 FLEUR, SUITE 100, DES MOINES, IA 50321-3104
(515) 285-6134
(515) 285-2249
Mailing address
7400 FLEUR, SUITE 100, DES MOINES, IA 50321-3104
(515) 285-6134
(515) 285-2249
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7331
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173054
—
IA
Enumeration date
03/15/2007
Last updated
04/11/2012
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