Individual
DR. BRIAN WILLETTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1321 MOUNT CARMEL RD, PARKTON, MD 21120-9763
(410) 357-5151
(410) 357-0880
Mailing address
14213 QUAIL CREEK WAY, #312, SPARKS, MD 21152-8877
(410) 472-4587
(410) 357-0880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7867
MD
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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