Individual
DR. AUSTIN TYLER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-0439
Mailing address
402 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-0439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4336
WV
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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