Individual
DR. JULIUS A. WILLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1226 JACKSON AVE, PASCAGOULA, MS 39567-4348
(228) 769-9010
Mailing address
PO BOX 1086, PASCAGOULA, MS 39568-1086
(228) 769-9010
(228) 762-0303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1858-79
MS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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