Individual
DR. BRADLEY W WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8161 SEATON PLACE, SUITE A, MONTGOMERY, AL 36116
(334) 260-2929
(334) 396-7874
Mailing address
8161 SEATON PLACE, SUITE A, MONTGOMERY, AL 36116
(334) 260-2929
(334) 396-7874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4554
AL
Other
Enumeration date
08/28/2006
Last updated
11/03/2015
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