Individual
DR. DAVID G WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1261 LANCASTER DR NE, SALEM, OR 97301-1959
(503) 364-3004
(503) 364-1623
Mailing address
1261 LANCASTER DR NE, SALEM, OR 97301-1959
(503) 364-3004
(503) 364-1623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7786
OR
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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