Individual
CAMERON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1406 CHESTNUT ST, SENECA, MO 64865-9261
(417) 776-2291
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61778
KS
122300000X
Dentist
7347
OK
1223G0001X
General Practice Dentistry
Primary
2022014574
MO
Other
Enumeration date
07/07/2020
Last updated
03/27/2024
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