Individual
DR. BARRY C WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
394 W BUTTERFIELD RD, CHINO VALLEY, AZ 86323-5610
(928) 636-2359
Mailing address
394 W BUTTERFIELD RD, CHINO VALLEY, AZ 86323-5610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2426
AZ
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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