Individual
DR. CRAIG WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2245 N 400 E, SUITE 103, LOGAN, UT 84341
(435) 753-6776
(435) 753-7011
Mailing address
2245 N 400 E, SUITE 103, LOGAN, UT 84341
(435) 753-6776
(435) 753-7011
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3565169921
UT
Other
Enumeration date
12/28/2006
Last updated
03/16/2022
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