Organization
J.A. WILLIS, DMD AND RUSSELL PARKER, DMD FAMILY DENTISTRY
Active
Other names
Willis & Parker Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. A. WILLIS DMD (PARTNER)
(228) 769-9010
Entity
Organization
Contact information
Practice address
1226 JACKSON AVE, PASCAGOULA, MS 39567-4348
(228) 769-9010
(228) 762-0303
Mailing address
PO BOX 1086, PASCAGOULA, MS 39568-1086
(228) 769-9010
(228) 762-0303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1858-79
MS
Other
Enumeration date
05/14/2007
Last updated
07/24/2008
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