Individual
DAVID A WILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 2ND ST, ENCINITAS, CA 92024-4408
(760) 753-6448
Mailing address
836 2ND ST, ENCINITAS, CA 92024-4408
(760) 753-6448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58112
CA
122300000X
Dentist
D6950
OR
Other
Enumeration date
10/21/2008
Last updated
01/28/2010
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