Individual
DR. KENT F WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 CHAPEL HILL RD, SUITE C, COLUMBIA, MO 65203-5462
(573) 445-5300
(573) 446-5118
Mailing address
1601 CHAPEL HILL RD, SUITE C, COLUMBIA, MO 65203-5462
(573) 445-5300
(573) 446-5118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13368
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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