Individual
DR. CHARLES STEADMAN WILLIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1212 BROAD ST, DURHAM, NC 27705-3572
(919) 286-2235
(919) 286-2235
Mailing address
1212 BROAD ST, DURHAM, NC 27705-3572
(919) 286-2235
(919) 286-2235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8818
NC
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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