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Organization

ALBERT E. WILLIS, D.M.D., M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT E. WILLIS II D.M.D., M.D. (PRESIDENT)
(256) 464-7873
Entity
Organization

Contact information

Practice address
540 HUGHES RD, SUITE 6, MADISON, AL 35758-8999
(256) 464-7873
(256) 464-7864
Mailing address
540 HUGHES RD, SUITE 6, MADISON, AL 35758-8999
(256) 464-7873
(256) 464-7864

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
16039
AL

Other

Enumeration date
02/08/2007
Last updated
08/20/2014
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