Individual
DR. DAVID O WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292
(502) 852-5128
(502) 852-7163
Mailing address
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY, 501 S. PRESTON ST., LOUISVILLE, KY 40292
(502) 852-5128
(502) 852-7163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4651
KY
Other
Enumeration date
10/04/2006
Last updated
07/23/2013
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