Individual
HALEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3616 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2661
(919) 493-2569
Mailing address
704 OPPOSITION WAY, WAKE FOREST, NC 27587-6160
(434) 579-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17539
MD
1223G0001X
General Practice Dentistry
2901022349
MI
1223P0221X
Pediatric Dentistry
0401417350
VA
1223P0221X
Pediatric Dentistry
Primary
13709
NC
1223P0221X
Pediatric Dentistry
17539
MD
1223P0221X
Pediatric Dentistry
260191
NC
1223P0221X
Pediatric Dentistry
30.025784
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2017
Last updated
06/21/2024
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