Organization
MATTHEW H WILLIS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WILLIS DDS (OWNER)
(919) 610-7915
Entity
Organization
Contact information
Practice address
2709 SALISBURY PLN, RALEIGH, NC 27613-4333
(919) 610-7915
Mailing address
2709 SALISBURY PLN, RALEIGH, NC 27613-4333
(919) 610-7915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9322
NC
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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