Individual
DR. RALPH GLEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1144-F INDIA HOOK RD, ROCK HILL, SC 29732
(803) 327-4166
(803) 327-2086
Mailing address
1144-F INDIA HOOK RD, ROCK HILL, SC 29732
(803) 327-4166
(803) 327-2086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3242
SC
Other
Enumeration date
10/13/2006
Last updated
10/04/2011
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