Individual
DR. PAUL RICHARD WILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST DDS
Contact information
Practice address
1950 PLYMOUTH AVE, WATERLOO, IA 50702
(319) 291-3908
(319) 291-4077
Mailing address
1950 PLYMOUTH AVE, WATERLOO, IA 50702
(319) 291-3908
(319) 291-4077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3203015
WI
122300000X
Dentist
Primary
6925
IA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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