Individual
DR. CATHARINE B WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4258 HIGHWAY 231, STE 1, LACEYS SPRING, AL 35754-6444
(256) 498-3570
(256) 498-1054
Mailing address
4258 HIGHWAY 231, STE 1, LACEYS SPRING, AL 35754-6444
(256) 498-3570
(256) 498-1054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4068
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008703960
—
AL
01
—
90527
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/30/2005
Last updated
10/22/2012
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