Organization
LAWRENCE M.WILLIS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE M WILLIS DDS (OWNER)
(303) 789-1655
Entity
Organization
Contact information
Practice address
3012 S BROADWAY, ENGLEWOOD, CO 80113-1529
(303) 789-4165
Mailing address
3012 S BROADWAY, ENGLEWOOD, CO 80113-1529
(303) 789-4165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2123
CO
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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