Individual
DR. MATTHEW HENRICHSEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
110 W CHURCH ST, CREEDMOOR, NC 27522-9747
(919) 528-4004
(919) 528-2211
Mailing address
110 W CHURCH ST, CREEDMOOR, NC 27522-9747
(919) 528-4004
(919) 528-2211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9322
NC
Other
Enumeration date
08/10/2012
Last updated
09/11/2015
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